Organization Active NPI

Butler Chiropractic Health Clinic, PC

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1558489658
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BUTLER CHIROPRACTIC HEALTH CLINIC, PC
Practice address
1802 Dearborn Ave.
Suite 101
Missoula, MT 59801-7706
Phone
(406) 728-5114
NPI assigned
Mar 27, 2007
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dr. Don R ButlerNPI 1962433730
Title
President
Phone
(406) 728-5114

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Contractor 171W00000X NU
Massage Therapist 225700000X NU

Addresses

Primary practice location

1802 Dearborn Ave.
Suite 101
Missoula, MT 59801-7706

Mailing address

1802 Dearborn Ave Ste 101
Missoula, MT 59801-7741
Phone (406) 728-5114

Other identifiers 3

IdentifierTypeStateIssuer
0162448MedicaidMT
0163436MedicaidMT
MSF0952442OtherMTMONTANA STATE FUND

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000795 MT Part B Supplier - Clinic/Group Practice 3779481767 Practice locations: Missoula, MT

National Provider Directory

National Provider Directory

Locations

1802 Dearborn Ave
Ste 101
Missoula, MT 59801
Phone (406) 728-5114

Practitioners & affiliated clinicians

Practitioners 6

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1558489658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 DEARBORN AVE STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017741",
            "telephone_number": "406-728-5114",
            "fax_number": "406-728-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 DEARBORN AVE.",
            "address_2": "SUITE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598017706",
            "telephone_number": "406-728-5114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER CHIROPRACTIC HEALTH CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-728-5114",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162448",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163436",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE FUND",
            "identifier": "MSF0952442",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.