Individual provider Active NPI

Nicholas Butterworth, DC

  • Chiropractor
  • Boise, ID
National Provider Identifier
1568065332
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TCHI-2079 Issued in ID
Practice address
3211 N Milwaukee St
Boise, ID 83704-4446
Phone
(208) 740-3843
NPI assigned
Nov 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X TCHI-2079 ID Primary

Addresses

Primary practice location

3211 N Milwaukee St
Boise, ID 83704-4446

Mailing address

3211 N Milwaukee St
Boise, ID 83704-4446
Phone (208) 740-3843

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214000782 VA Practitioner - Chiropractic 1850704305 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TCHI-2079IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management of Virginia LLC CurrentSince May 1, 2024 Accepting new patients

Locations

301 Hillsdale Dr
Charlottesville, VA 22901
Phone (434) 978-4888

2109 India Rd
Charlottesvle, VA 22901
Phone (276) 685-1185

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1568065332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 N MILWAUKEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044446",
            "telephone_number": "208-740-3843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 N MILWAUKEE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837044446",
            "telephone_number": "208-740-3843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERWORTH",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "TCHI-2079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.