Individual provider Active NPI

Keith Bruce Butterfield, DC

  • Chiropractor
  • Selma, CA
National Provider Identifier
1639118334
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC15151 Issued in CA
Practice address
1717 Mill St
Selma, CA 93662-3712
Phone
(559) 472-7314
Fax
(559) 891-9800
NPI assigned
Jun 6, 2006
Last updated
Jul 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC15151 CA Primary

Addresses

Primary practice location

1717 Mill St
Selma, CA 93662-3712

Mailing address

1717 Mill St
Selma, CA 93662-3712
Phone (559) 472-7314

Other identifiers 1

IdentifierTypeStateIssuer
DC0151510MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060125000996 CA Practitioner - Chiropractic 2961416284 Practice locations: Selma, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1717 Mill St
Selma, CA 93662-3712
Phone (559) 472-7314

Merit-based Incentive Payment System (MIPS)

Final score
97.56 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
91.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC15151CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1639118334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MILL ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623712",
            "telephone_number": "559-472-7314",
            "fax_number": "559-891-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MILL ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623712",
            "telephone_number": "559-472-7314",
            "fax_number": "559-891-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERFIELD",
        "first_name": "KEITH",
        "middle_name": "BRUCE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0151510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.