Organization Active NPI

Concetta a. Butera, DC, PC

  • Chiropractor
  • Brooklyn, NY
National Provider Identifier
1568567253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X004212 Issued in NY
Legal business name
CONCETTA A. BUTERA, DC, PC
Practice address
440 Bay Ridge Pkwy
Brooklyn, NY 11209-2702
Phone
(718) 836-2400
Fax
(718) 836-2131
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Concetta Anne Butera, DC
Title
President
Phone
(718) 836-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X004212 NY Primary

Addresses

Primary practice location

440 Bay Ridge Pkwy
Brooklyn, NY 11209-2702

Mailing address

440 Bay Ridge Pkwy
Brooklyn, NY 11209-2702
Phone (718) 836-2400

Other identifiers 1

IdentifierTypeStateIssuer
0037605OtherNYGHI

National Provider Directory

National Provider Directory

Locations

440 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 836-2400

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568567253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092702",
            "telephone_number": "718-836-2400",
            "fax_number": "718-836-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092702",
            "telephone_number": "718-836-2400",
            "fax_number": "718-836-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCETTA A. BUTERA, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTERA",
        "authorized_official_first_name": "CONCETTA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-836-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X004212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0037605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.