Thomas Joseph Butler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Practice address

1421 Broadway St
Quincy, IL 62301-2814

Phone

(217) 641-0656

Fax

(217) 641-6922

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Selvidge Chiropractic

  • Chiropractor
  • Mattoon, IL
  • NPI 1346790342
  NPD (past)
• Selvidge Chiropractic PC

  • Chiropractor
  • Mattoon, IL
  • NPI 1205027364
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689798829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012814",
            "telephone_number": "217-641-0656",
            "fax_number": "217-641-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012814",
            "telephone_number": "217-641-0656",
            "fax_number": "217-641-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03800963",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2132001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peggy Louise Burchard-Ballard, MA
• Shannon Burnette, RN,MSN
• Donald A Busbey, III
• Derek Buss, PTA
• Emily Buswell
• Angela Byerly
• Joshua James Byrd, DOCTOR
• Tami Jo Cain, DT
• Becky Campbell, NP
• Joy M Campbell, APRN-AGPCNP-PMHCNP

• Chiropractor in Quincy, IL
• Providers in Quincy, IL by specialty
• Chiropractor in Illinois

• 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.
• 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.