Individual provider Active NPI

David Allen Butters, DC

  • Chiropractor
  • Seattle, WA
National Provider Identifier
1356341747
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00000980 Issued in WA
Practice address
4236 36TH Ave S
Seattle, WA 98118-1312
Phone
(206) 723-2820
Fax
(206) 722-3664
NPI assigned
Jul 28, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00000980 WA Primary

Addresses

Primary practice location

4236 36TH Ave S
Seattle, WA 98118-1312

Mailing address

4236 36TH Ave S
Seattle, WA 98118-1312
Phone (206) 723-2820

Other identifiers 3

IdentifierTypeStateIssuer
2093409MedicaidWA
14145OtherWALABOR AND INDUSTRIES
BLUE CROSSOtherWA000911088447 BU2862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000677 WA Practitioner - Chiropractic 9830172113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rainier Valley Chiropractic PSGroup PAC ID 1759364037, 2 clinicians

Practice addresses (Care Compare)

4236 36TH Ave S
Seattle, WA 98118-1312
Phone (206) 723-2820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00000980WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rainier Valley Chiropractic PS Chiropractor CurrentSince Jun 5, 2000 Accepting new patients

Locations

4236 36th Ave S
Seattle, WA 98118
Phone (206) 723-2820

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356341747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 36TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181312",
            "telephone_number": "206-723-2820",
            "fax_number": "206-722-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 36TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981181312",
            "telephone_number": "206-723-2820",
            "fax_number": "206-722-3664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERS",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00000980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2093409",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "14145",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000911088447 BU2862",
            "identifier": "BLUE CROSS",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.