Organization Active NPI

Butler Chiropractic PC

  • Chiropractor
  • Redmond, OR
National Provider Identifier
1700061835
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272181 Issued in OR
Legal business name
BUTLER CHIROPRACTIC PC
Practice address
340 NW 5TH St Ste 204
Redmond, OR 97756-1869
Phone
(541) 548-0125
Fax
(541) 548-0323
NPI assigned
Jan 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. David Carlton Butler, D.C.NPI 1457325235
Title
Chiropractor
Phone
(541) 548-0125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 272181 OR Primary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2181 OR

Addresses

Primary practice location

340 NW 5TH St Ste 204
Redmond, OR 97756-1869

Mailing address

PO Box 2294
Redmond, OR 97756-0542
Phone (541) 548-0125

Other practice location 1

537 SW 7th St
Redmond, OR 97756-2709
Phone (541) 548-0125

Other identifiers 1

IdentifierTypeStateIssuer
1700016835OtherORPRIVATE HEALTH INSURANCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000420 OR Part B Supplier - Clinic/Group Practice 2961478862 Receives reassigned benefits from 1 practitioner
Practice locations: Bend, OR; Redmond, OR

National Provider Directory

National Provider Directory

Locations

500 SW Bond St
Ste 178
Bend, OR 97702
Phone (541) 548-0125

537 SW 7th St
Redmond, OR 97756
Phone (541) 548-0125

340 NW 5th St
Ste 204
Redmond, OR 97756
Phone (458) 267-1236

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1700061835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2294",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560542",
            "telephone_number": "541-548-0125",
            "fax_number": "541-548-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 NW 5TH ST STE 204",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561869",
            "telephone_number": "541-548-0125",
            "fax_number": "541-548-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "537 SW 7th St",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977562709",
            "country_code": "US",
            "telephone_number": "541-548-0125",
            "fax_number": "541-548-0323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUTLER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "541-548-0125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272181",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2181",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTH INSURANCE",
            "identifier": "1700016835",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.