Phillip Sante Butch, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009398 Issued in GA

Practice address

514 W Bankhead Hwy Ste 300
Villa Rica, GA 30180-1737

Phone

(330) 296-5619

NPI assigned

Jun 25, 2012

Last updated

May 5, 2015By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2012

Medicare assignment

May accept Medicare assignment

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.

• Phillip S. Butch DC, LLC

  • Chiropractor
  • Villa Rica, GA
  • NPI 1609253087
  Medicare reassignment Authorized official
• Villa Rosa Chiropractic, LLC

  • Chiropractor
  • Temple, GA
  • NPI 1174182869
  NPD Authorized official

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1730443789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W BANKHEAD HWY STE 300",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801737",
            "telephone_number": "770-459-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W BANKHEAD HWY STE 300",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801737",
            "telephone_number": "330-296-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCH",
        "first_name": "PHILLIP",
        "middle_name": "SANTE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4267",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lee Bunting, LCMT
• Brooke Cuff Burguillos
• John H Burson III, M.D.
• Katherine Bush, PHARMD
• Nickole Bush
• Audrey Michelle Butler
• Hector Alejandro Caceres Serrano, MD
• Shazaria Calhoun
• Calming Spirits Caregivers LLC (Calming Spirit Careg)
• Bruce Anthony Camp, DMD

• Chiropractor in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.