Blake Butler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

16157 Issued in AR

Practice address

203 Towne Park Rd Unit E
Springdale, AR 72762-1301

Phone

(479) 601-1914

NPI assigned

Jan 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Active Wellness, LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1902162662
  Medicare reassignment NPD
• Active Wellness LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1891120408
  NPD

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1114463270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 TOWNE PARK RD UNIT E",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727621301",
            "telephone_number": "479-601-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 TOWNE PARK RD UNIT E",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727621301",
            "telephone_number": "479-601-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "16157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Gentry Burton, LPC, LMFT
• Kristy Burton, LPC
• Mysti Hope Burton, LCSW
• Rosa Marie Butcher
• Amy Butler, LPC
• Myndee Butler, PT
• Twila Marie Butler, MHPP
• Beverly G Bynum
• Byron T. Garibaldi, M.D., P.a.
• Cadence Counseling Services, PLLC

• Chiropractor in Springdale, AR
• Providers in Springdale, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.