Jason Buttleman DC PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009099 Issued in MI

Legal business name

JASON BUTTLEMAN DC PLLC

Practice address

10975 E Brewery Creek LN
Traverse City, MI 49684-6225

Phone

(231) 947-0755

Fax

(231) 947-1134

NPI assigned

Jun 23, 2014

Last updated

Jun 23, 2014By 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. Jason Stewart Buttleman, DCNPI 1720137219

Title

President

Phone

(231) 947-0755

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Jason Stewart Buttleman, D.C.

  • Chiropractor
  • Traverse City, MI
  • NPI 1720137219
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1568877157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10975 E BREWERY CREEK LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846225",
            "telephone_number": "231-947-0755",
            "fax_number": "231-947-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10975 E BREWERY CREEK LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846225",
            "telephone_number": "231-947-0755",
            "fax_number": "231-947-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON BUTTLEMAN DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BUTTLEMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-947-0755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.