Individual provider Active NPI

Nathan Bukuts, D.C.

  • Chiropractor
  • Canton, OH
National Provider Identifier
1205030962
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3806 Issued in OH
Practice address
4883 Dressler Rd NW Ste 100
Canton, OH 44718-3665
Phone
(330) 479-9193
Fax
(330) 479-9165
NPI assigned
Jun 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3806 OH Primary

Addresses

Primary practice location

4883 Dressler Rd NW Ste 100
Canton, OH 44718-3665

Mailing address

3684 Dressler Rd NW Ste B
Canton, OH 44718-2781
Phone (330) 479-9193

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
3806OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Medicine, Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1205030962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3684 DRESSLER RD NW STE B",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182781",
            "telephone_number": "330-479-9193",
            "fax_number": "330-479-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4883 DRESSLER RD NW STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183665",
            "telephone_number": "330-479-9193",
            "fax_number": "330-479-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKUTS",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.