Active NPI
David Scott Burgess, D.C.
- Chiropractor
- Monrovia, IN
National Provider Identifier
1831260819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001859A
- Practice address
- 255 S Chestnut St
Monrovia, IN 46157 - Phone
- (317) 996-6200
- Fax
- (317) 996-3103
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001859A | IN | Primary |
Addresses
Primary practice location
255 S Chestnut St
Monrovia, IN 46157
Mailing address
PO Box 215
Monrovia, IN 46157-0215
Phone (317) 996-6200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000199904 | Other | IN | ANTHEM |
| 200310660 A | Medicaid | IN | |
| 7788183 | Other | IN | AETNA |
| 350050897 | Other | IN | RAILROAD MEDICARE |
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 |
|---|---|---|---|
| 08001859A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Chiropractic Center LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Monrovia, IN
- NPI 1356784540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831260819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 215",
"city": "MONROVIA",
"state": "IN",
"postal_code": "461570215",
"telephone_number": "317-996-6200",
"fax_number": "317-996-3103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 S CHESTNUT ST",
"city": "MONROVIA",
"state": "IN",
"postal_code": "46157",
"telephone_number": "317-996-6200",
"fax_number": "317-996-3103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "DAVID",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001859A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000199904",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200310660 A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7788183",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350050897",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.