Sara Butkovich, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4648 Issued in NC

Practice address

176 King St
Keysville, VA 23947-0024

Phone

(434) 736-9895

NPI assigned

May 25, 2016

Sex

Female

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 NC, VA2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Life Chiropractic College, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keysville Chiropractic Wellness CenterGroup PAC ID 3678801636, 2 clinicians

Practice addresses (Care Compare)

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.

• Keysville Chiropractic Wellness Center

  • Chiropractor
  • Keysville, VA
  • NPI 1831754548
  Medicare reassignment Care Compare group NPD
• Weddington Chiropractic Wellness Center

  • Nutrition Chiropractor
  • Weddington, NC
  • NPI 1245256841
  Medicare reassignment NPD
• Keysville Chiropractic PLC

  • Chiropractor
  • Keysville, VA
  • NPI 1477747558
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1245688738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 KING ST",
            "city": "KEYSVILLE",
            "state": "VA",
            "postal_code": "239470024",
            "telephone_number": "434-736-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 KING ST",
            "city": "KEYSVILLE",
            "state": "VA",
            "postal_code": "239470024",
            "telephone_number": "434-736-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTKOVICH",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forrest Presley Andrews
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• Venetia Arvin
• Laura Marie Baker, PHARMD
• Michael Axton Campbell, D.D.S.
• Campbell's Quality Care, Corporation
• Care Rehab and Orthopaedic Products, Inc.
• Marla Renise Chandler-Glass, LPTA
• Charlotte County Rescue Squad Inc

• Chiropractor in Keysville, VA
• Providers in Keysville, VA by specialty
• Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.

Verify at the official NPI Registry.