Active NPI
Peter Shane Burras, L.AC.,
- Acupuncturist
- Burlington, VT
National Provider Identifier
1801870688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 091.0059682
- Practice address
- 47 Maple St Ste 214
Burlington, VT 05401-4956 - Phone
- (802) 347-1834
- NPI assigned
- Dec 5, 2005
- Last updated
- Jul 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC8977 | CA | |
| Acupuncturist | 171100000X | 091.0059682 | VT | Primary |
Addresses
Primary practice location
47 Maple St Ste 214
Burlington, VT 05401-4956
Mailing address
47 Maple St Ste 214
Burlington, VT 05401-4956
Phone (802) 347-1834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC8977 | CA | MD | Acupuncturist |
| 091.0059682 | VT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1801870688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 MAPLE ST STE 214",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014956",
"telephone_number": "802-347-1834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 MAPLE ST STE 214",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054014956",
"telephone_number": "802-347-1834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURRAS",
"first_name": "PETER",
"middle_name": "SHANE",
"name_prefix": "Mr.",
"credential": "L.AC.,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC8977",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "VT",
"license": "091.0059682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.