Active NPI
Stephen Victor Button, D.C.
- Internist Chiropractor
- Mount Airy, NC
National Provider Identifier
1114933173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 1913
- Practice address
- 1243 W Lebanon St
Mount Airy, NC 27030-2227 - Phone
- (336) 786-6095
- Fax
- (336) 786-1003
- NPI assigned
- Jul 31, 2006
- Last updated
- May 23, 2008
- 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 |
|---|---|---|---|---|
| Internist Chiropractor | 111NI0900X | 1913 | NC | Primary |
| Internist Chiropractor | 111NI0900X | 0104001100 | VA |
Addresses
Primary practice location
1243 W Lebanon St
Mount Airy, NC 27030-2227
Mailing address
1243 W Lebanon St
Mount Airy, NC 27030-2227
Phone (336) 786-6095
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318792 | Other | VA | BSBSVA |
| 890828K | Medicaid | NC | |
| 0828K | Other | NC | BLUECROSS/BLUESHIELD/NC |
| 11736 | Other | NC | PARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1243 W Lebanon St
Mount Airy, NC 27030-2227
Phone (336) 786-6095
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1913 | NC | MD | Internist Chiropractor |
| 0104001100 | VA | MD | Internist Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buttonwood Chiropractic Center PC | Internist | Current | Accepting new patients |
Locations
1243 W Lebanon St
Mount Airy, NC 27030
Phone (336) 786-6095
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internist Chiropractor
- Mount Airy, NC
- NPI 1588799977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1114933173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1243 W LEBANON ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270302227",
"telephone_number": "336-786-6095",
"fax_number": "336-786-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1243 W LEBANON ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270302227",
"telephone_number": "336-786-6095",
"fax_number": "336-786-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTON",
"first_name": "STEPHEN",
"middle_name": "VICTOR",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "NC",
"license": "1913",
"primary": true
},
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "VA",
"license": "0104001100",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSBSVA",
"identifier": "318792",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890828K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUESHIELD/NC",
"identifier": "0828K",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "11736",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.