Individual provider Active NPI

Benjamin Robert Butwin, D.C.

  • Chiropractor
  • Carmel, IN
National Provider Identifier
1730474479
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002596A Issued in IN
Practice address
890 E 116TH St
Suite 108
Carmel, IN 46032-3475
Phone
(317) 848-4408
Fax
(317) 848-4407
NPI assigned
Jun 10, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002596A IN Primary

Addresses

Primary practice location

890 E 116TH St
Suite 108
Carmel, IN 46032-3475

Mailing address

890 E 116TH St
Suite 108
Carmel, IN 46032-3475
Phone (317) 848-4408

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110922000494 IN Practitioner - Chiropractic 0143491191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

890 E 116TH St
Suite 108
Carmel, IN 46032-3476
Phone (317) 848-4408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002596AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Butwin Chiropractic Chiropractor CurrentSince Aug 23, 2013 Accepting new patients
Zimmer Family Chiropractic, PC Chiropractor PastSince Jan 31, 2001 Accepting new patients

Locations

890 E 116th St
Ste 108
Carmel, IN 46032
Phone (317) 848-4408

Organizations & group practices 2

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": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1730474479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E 116TH ST",
            "address_2": "SUITE 108",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323475",
            "telephone_number": "317-848-4408",
            "fax_number": "317-848-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E 116TH ST",
            "address_2": "SUITE 108",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323475",
            "telephone_number": "317-848-4408",
            "fax_number": "317-848-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTWIN",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-10",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002596A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.