Individual provider Active NPI

Kevin Warren Butterfield, D.C.

  • Chiropractor
  • Lafayette, IN
National Provider Identifier
1295886687
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001563 Issued in IN
Practice address
3778 Union St
Lafayette, IN 47905-4453
Phone
(765) 448-1674
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001563 IN Primary

Addresses

Primary practice location

3778 Union St
Lafayette, IN 47905-4453

Mailing address

3778 Union St
Lafayette, IN 47905-4453
Phone (765) 448-1674

Other identifiers 1

IdentifierTypeStateIssuer
200028650AMedicaidIN

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
08001563INMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Chiropractic LLC Chiropractor PastSince Oct 16, 2022 Accepting new patients
Lafayette Chiropractic LLC Chiropractor PastSince May 14, 2008 Accepting new patients
Back Resort Wellness Center Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1295886687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3778 UNION ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054453",
            "telephone_number": "765-448-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3778 UNION ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054453",
            "telephone_number": "765-448-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERFIELD",
        "first_name": "KEVIN",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200028650A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.