Active NPI
Tiffany T Butler, D.C.
- Chiropractor
- Laurel, MD
National Provider Identifier
1437420536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S03598
- Practice address
- 7901 Laurel Lakes CT
2ND Floor
Laurel, MD 20707-5070 - Phone
- (410) 695-6045
- NPI assigned
- Jan 20, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S03598 | MD | Primary |
Addresses
Primary practice location
7901 Laurel Lakes CT
2ND Floor
Laurel, MD 20707-5070
Mailing address
PO Box 1164
Laurel, MD 20725-1164
Phone (443) 518-0140
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S03598 | MD | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437782400000",
"number": "1437420536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1164",
"city": "LAUREL",
"state": "MD",
"postal_code": "207251164",
"telephone_number": "443-518-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 LAUREL LAKES CT",
"address_2": "2ND FLOOR",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075070",
"telephone_number": "410-695-6045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "TIFFANY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-20",
"last_updated": "2015-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S03598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.