Organization Active NPI

Dr Randal L Butch DC PA

  • Chiropractor
  • Seminole, FL
National Provider Identifier
1073667325
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6103 Issued in FL
Legal business name
DR RANDAL L BUTCH DC PA
Practice address
8229 113TH St
Seminole, FL 33772-4128
Phone
(727) 398-3999
Fax
(727) 397-3777
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Randal Lee Butch, DC
Title
Doctor Owner
Phone
(727) 398-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH6103 FL Primary

Addresses

Primary practice location

8229 113TH St
Seminole, FL 33772-4128

Mailing address

8229 113TH St
Seminole, FL 33772-4128
Phone (727) 398-3999

Other identifiers 1

IdentifierTypeStateIssuer
1801845789OtherFLNPI FOR SS NUMBER

National Provider Directory

National Provider Directory

Locations

8229 113th St
Seminole, FL 33772
Phone (727) 398-3999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073667325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8229 113TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724128",
            "telephone_number": "727-398-3999",
            "fax_number": "727-397-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8229 113TH ST",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724128",
            "telephone_number": "727-398-3999",
            "fax_number": "727-397-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RANDAL L BUTCH DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTCH",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "727-398-3999",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR SS NUMBER",
            "identifier": "1801845789",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.

Verify at the official NPI Registry.