Active NPI
Richard Butykos, D.C.
- Chiropractor
- Dearborn Heights, MI
National Provider Identifier
1659366458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2815
- Practice address
- 19200 Van Born Rd
Dearborn Heights, MI 48125-3203 - Phone
- (313) 278-4420
- Fax
- (313) 563-1300
- NPI assigned
- Sep 18, 2005
- 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 | 2815 | MI | Primary |
Addresses
Primary practice location
19200 Van Born Rd
Dearborn Heights, MI 48125-3203
Mailing address
19200 Van Born Rd
Dearborn Heights, MI 48125-3203
Phone (313) 278-4420
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95OH251240 | Other | MI | BLUECROSS BLUESCHIELD |
| 561401 | Other | MI | SELECTCARE |
| DR820008 | Other | MI | M-CARE |
| P83516 | Other | MI | BLUE CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2815 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Corrections Specialists LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Madison Heights, MI
- NPI 1023521515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659366458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19200 VAN BORN RD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481253203",
"telephone_number": "313-278-4420",
"fax_number": "313-563-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19200 VAN BORN RD",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481253203",
"telephone_number": "313-278-4420",
"fax_number": "313-563-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTYKOS",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESCHIELD",
"identifier": "95OH251240",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECTCARE",
"identifier": "561401",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "M-CARE",
"identifier": "DR820008",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P83516",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.