Individual provider Active NPI

Herb William Butzbach IV, DC

  • Chiropractor
  • Excelsior Springs, MO
National Provider Identifier
1366909400
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2019002479 Issued in MO
Practice address
463 S Thompson Ave
Excelsior Springs, MO 64024-2133
Phone
(913) 461-9070
NPI assigned
Feb 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2019002479 MO Primary

Addresses

Primary practice location

463 S Thompson Ave
Excelsior Springs, MO 64024-2133

Mailing address

13078 S Summit St
Olathe, KS 66062-9484
Phone (913) 461-9070

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

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1366909400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13078 S SUMMIT ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660629484",
            "telephone_number": "913-461-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 S THOMPSON AVE",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640242133",
            "telephone_number": "913-461-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZBACH",
        "first_name": "HERB",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2019002479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.