Individual provider Active NPI

Michael S Butler, D.C.

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1063599462
Registry record updated Feb 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004747 Issued in MO
Practice address
11911 Westline Industrial Dr
Road
Saint Louis, MO 63146-3200
Phone
(636) 394-1200
Fax
(314) 569-1623
NPI assigned
Nov 1, 2006
Last updated
Feb 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X 9177913995 MO
Chiropractor 111N00000X 004747 MO Primary

Addresses

Primary practice location

11911 Westline Industrial Dr
Road
Saint Louis, MO 63146-3200

Mailing address

11911 Westline Industrial Dr
Road
Saint Louis, MO 63146-3200
Phone (636) 394-1200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
004747MOMDChiropractor
9177913995MOMDOther Technician

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1063599462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11911 WESTLINE INDUSTRIAL DR",
            "address_2": "ROAD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463200",
            "telephone_number": "636-394-1200",
            "fax_number": "314-569-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 WESTLINE INDUSTRIAL DR",
            "address_2": "ROAD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463200",
            "telephone_number": "636-394-1200",
            "fax_number": "314-569-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MO",
            "license": "9177913995",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.