Organization Active NPI

Butzke Spine and Sports Chiropractic LLC

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1427303429
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1727 Issued in NE
Legal business name
BUTZKE SPINE AND SPORTS CHIROPRACTIC LLC
Practice address
7220 Fairfax Ave
Lincoln, NE 68505-1537
Phone
(402) 499-6669
NPI assigned
Jul 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Dr. Andrew Calvin Butzke, D.C.NPI 1104181411
Title
Owner/Chiropractor
Phone
(402) 499-6669

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 1727 NE Primary

Addresses

Primary practice location

7220 Fairfax Ave
Lincoln, NE 68505-1537

Mailing address

7220 Fairfax Ave
Lincoln, NE 68505-1537
Phone (402) 499-6669

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120904000605 NE Part B Supplier - Clinic/Group Practice 0446407001 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1427303429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 FAIRFAX AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051537",
            "telephone_number": "402-499-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 FAIRFAX AVE",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051537",
            "telephone_number": "402-499-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTZKE SPINE AND SPORTS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "BUTZKE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "402-499-6669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.