NPIMap

Organization Active NPI

Health Source of Butte Inc

  • Chiropractor
  • Butte, MT
National Provider Identifier
1386668754
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
944 Issued in MT
Legal business name
HEALTH SOURCE OF BUTTE INC
Practice address
1454 Dewey Blvd
Butte, MT 59701-3418
Phone
(406) 494-2979
Fax
(406) 494-2979
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Dr. Warren B. Smith, DCNPI 1447292834
Title
Owner/Chiropractor
Phone
(406) 494-2979

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 944 MT Primary

Addresses

Primary practice location

1454 Dewey Blvd
Butte, MT 59701-3418

Mailing address

1454 Dewey Blvd
Butte, MT 59701-3418
Phone (406) 494-2979

Other names 1

  • Butte Chiropractic Plus Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060901000166 MT Part B Supplier - Clinic/Group Practice 5799789889 Receives reassigned benefits from 1 practitioner
Practice locations: Butte, MT

National Provider Directory

National Provider Directory

Locations

1454 Dewey Blvd
Butte, MT 59701
Phone (406) 494-2979

1554 Harrison Ave
Ste A
Butte, MT 59701
Phone (406) 494-2979

Practitioners & affiliated clinicians

Practitioners 4

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": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1386668754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 DEWEY BLVD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013418",
            "telephone_number": "406-494-2979",
            "fax_number": "406-494-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 DEWEY BLVD",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013418",
            "telephone_number": "406-494-2979",
            "fax_number": "406-494-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH SOURCE OF BUTTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "406-494-2979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butte Chiropractic Plus Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.