Organization Active NPI

Century Chiropractic Center, P.a.

  • Chiropractor
  • Alexandria, MN
National Provider Identifier
1437333861
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2268 Issued in MN
Legal business name
CENTURY CHIROPRACTIC CENTER, P.A.
Practice address
2308 S Broadway St Ste 5
Alexandria, MN 56308-4517
Phone
(320) 762-0667
Fax
(320) 762-1587
NPI assigned
Dec 20, 2007
Last updated
Dec 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Dr. David W Butler, D.C.NPI 1003990524
Title
Owner
Phone
(320) 762-0667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2268 MN Primary

Addresses

Primary practice location

2308 S Broadway St Ste 5
Alexandria, MN 56308-4517

Mailing address

2308 S Broadway St Ste 5
Alexandria, MN 56308-4517
Phone (320) 762-0667

Other identifiers 1

IdentifierTypeStateIssuer
C03716OtherMEDICARE PROVIDER #

National Provider Directory

National Provider Directory

Locations

2308 S Broadway St
Ste 5
Alexandria, MN 56308
Phone (320) 762-0667

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1437333861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 S BROADWAY ST STE 5",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084517",
            "telephone_number": "320-762-0667",
            "fax_number": "320-762-1587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 S BROADWAY ST STE 5",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563084517",
            "telephone_number": "320-762-0667",
            "fax_number": "320-762-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-762-0667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "C03716",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.