Active NPI
Nicholas Butterworth, DC
- Chiropractor
- Boise, ID
National Provider Identifier
1568065332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- TCHI-2079
- 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
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 | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231214000782 | VA | Practitioner - Chiropractic | 1850704305 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TCHI-2079 | ID | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Pain Management of Virginia LLC | Current | 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.
-
- General Practice Physician
- Charlottesville, VA
- NPI 1700637592
VA
-
- General Practice Physician
- Charlottesville, VA
- NPI 1447875042
VA
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.