Individual provider Active NPI

Amanda Butterbaugh, DC

  • Chiropractor
  • Lees Summit, MO
National Provider Identifier
1336819309
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021035529 Issued in MO
Practice address
931 SW Lemans LN
Lees Summit, MO 64082-4619
Phone
(816) 623-3020
Fax
(816) 623-3076
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2021035529 MO Primary

Addresses

Primary practice location

931 SW Lemans LN
Lees Summit, MO 64082-4619

Mailing address

931 SW Lemans LN
Lees Summit, MO 64082-4619
Phone (816) 623-3020

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2021035529MOMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1336819309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SW LEMANS LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824619",
            "telephone_number": "816-623-3020",
            "fax_number": "816-623-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SW LEMANS LN",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640824619",
            "telephone_number": "816-623-3020",
            "fax_number": "816-623-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERBAUGH",
        "first_name": "AMANDA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021035529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.