Phillip S. Butch DC, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009398 Issued in GA

Legal business name

PHILLIP S. BUTCH DC, LLC

Practice address

514 W Bankhead Hwy Ste 300
Villa Rica, GA 30180-1737

Phone

(770) 459-0035

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Phillip Butch, DCNPI 1730443789

Title

Owner

Phone

(330) 501-7671

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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.

• Phillip Sante Butch, DC

  • Chiropractor
  • Villa Rica, GA
  • NPI 1730443789
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1609253087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W BANKHEAD HWY STE 300",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801737",
            "telephone_number": "770-459-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W BANKHEAD HWY STE 300",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801737",
            "telephone_number": "770-459-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP S. BUTCH DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "BUTCH",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-501-7671",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.