Individual provider Active NPI

Jason Stewart Buttleman, D.C.

  • Chiropractor
  • Traverse City, MI
National Provider Identifier
1720137219
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009099 Issued in MI
Practice address
10975 E Brewery Creek LN
Traverse City, MI 49684-6225
Phone
(231) 947-0755
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 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 2301009099 MI Primary

Addresses

Primary practice location

10975 E Brewery Creek LN
Traverse City, MI 49684-6225

Mailing address

10975 E Brewery Creek LN
Traverse City, MI 49684-6225
Phone (231) 947-0755

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060316000142 MI Practitioner - Chiropractic 6709893795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1213 W Front St
Traverse City, MI 49684-2317
Phone (231) 947-0755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Buttleman DC PLLC Chiropractor CurrentSince Jul 2, 2014 Accepting new patients

Locations

10975 E Brewery Creek Ln
Traverse City, MI 49684
Phone (231) 941-5010

1213 W Front St
Traverse City, MI 49684
Phone (231) 922-9626

10975 E Brewery Creek Ln
#L
Traverse City, MI 49684
Phone (231) 941-4030

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1720137219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10975 E BREWERY CREEK LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846225",
            "telephone_number": "231-947-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10975 E BREWERY CREEK LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846225",
            "telephone_number": "231-947-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTLEMAN",
        "first_name": "JASON",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.