Dr Gary L Butler DC PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

01-03428 Issued in KS

Legal business name

DR GARY L BUTLER DC PA

Practice address

2506 W 13TH St N
Wichita, KS 67203-1801

Phone

(316) 943-8187

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Gary Lee Butler, D.C.NPI 1568439339

Title

Owner

Phone

(316) 943-8187

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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

• Gary Lee Butler, D.C.

  • Chiropractor
  • Wichita, KS
  • NPI 1568439339
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1194001750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 W 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031801",
            "telephone_number": "316-943-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 W 13TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672031801",
            "telephone_number": "316-943-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GARY L BUTLER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-943-8187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "KS",
            "license": "01-03428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Wichita, KS
• Providers in Wichita, KS by specialty
• Medical Specialty Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.