Back Resort Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001563A Issued in IN

Legal business name

BACK RESORT WELLNESS CENTER

Practice address

1 Howard St
Shelbyville, IN 46176-2616

Phone

(317) 421-0955

Fax

(317) 421-0955

NPI assigned

Mar 20, 2009

Last updated

Mar 20, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin W Butterfield, D.C.NPI 1295886687

Title

Owner

Phone

(317) 421-0955

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Kevin Warren Butterfield, D.C.

  • Chiropractor
  • Lafayette, IN
  • NPI 1295886687
  NPD (past) Authorized official
• Deltan Jon Tschetter, D.C.

  • Chiropractor
  • Indianapolis, IN
  • NPI 1700987948
  NPD (past)

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1497996417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOWARD ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461762616",
            "telephone_number": "317-421-0955",
            "fax_number": "317-421-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOWARD ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461762616",
            "telephone_number": "317-421-0955",
            "fax_number": "317-421-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK RESORT WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "BUTTERFIELD",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-421-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001563A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200028650A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Assisted Living Concepts Inc (Walker House)
• Amandeep Kaur Aulakh, M.D.
• Jaime Ayon, MD
• Lindsay Ayres, LCSW
• Jean H Babbitt, NP
• Mary Elizabeth Bailey
• Allen A Baker, PEER SUPPORT SPEC
• Christian Ballast, MD
• Amy Jo Balting, LCSW
• Jeanine Lee Bannon

• Chiropractor in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.