NPIMap

Organization Active NPI

A. Butler Chiropractic PLLC

  • Chiropractor
  • Lyndora, PA
National Provider Identifier
1326630765
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
A. BUTLER CHIROPRACTIC PLLC
Practice address
6 Chesapeake St
Lyndora, PA 16045-1148
Phone
(724) 822-1828
NPI assigned
Feb 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Amber Butler, DCNPI 1457682205
Title
Owner
Phone
(724) 822-1828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X

Addresses

Primary practice location

6 Chesapeake St
Lyndora, PA 16045-1148

Mailing address

6 Chesapeake St
Lyndora, PA 16045-1148
Phone (724) 822-1828

Other identifiers 1

IdentifierTypeStateIssuer
DC010222OtherPASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210505002970 PA Part B Supplier - Clinic/Group Practice 2365851284 Receives reassigned benefits from 2 practitioners
Practice locations: Lyndora, PA

National Provider Directory

National Provider Directory

Locations

120 Hollywood Dr
Ste 202
Butler, PA 16001
Phone (724) 287-2837

6 Chesapeake St
Lyndora, PA 16045
Phone (724) 822-1828

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1326630765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CHESAPEAKE ST",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "160451148",
            "telephone_number": "724-822-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CHESAPEAKE ST",
            "city": "LYNDORA",
            "state": "PA",
            "postal_code": "160451148",
            "telephone_number": "724-822-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A. BUTLER CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-822-1828",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC010222",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndora, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.