Individual provider Active NPI

Jason Allen Butzin, DC

  • Chiropractor
  • Chesterfield, MI
National Provider Identifier
1780791145
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JB008115 Issued in MI
Practice address
27322 23 Mile Rd Ste 3
Chesterfield, MI 48051-2032
Phone
(586) 598-9120
Fax
(586) 598-9155
NPI assigned
Aug 23, 2006
Last updated
Dec 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X JB008115 MI Primary

Addresses

Primary practice location

27322 23 Mile Rd Ste 3
Chesterfield, MI 48051-2032

Mailing address

2050 Chesley Dr
Sterling Heights, MI 48310-4818
Phone (586) 268-8882

Other identifiers 1

IdentifierTypeStateIssuer
4754026MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040927000332 MI Practitioner - Chiropractic 5193704997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Lincoln Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2050 Chesley Dr
Sterling Heights, MI 48310-4818
Phone (586) 268-8882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
JB008115MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Butzin Chiropractic Clinic LLC Chiropractor CurrentSince Feb 21, 2022 Accepting new patients
Matoshko Chiropractic Clinic LLC Chiropractor PastSince Oct 1, 2021 Accepting new patients
Butzin, Matoshko & Associates Chiropractor PastSince Jan 21, 2002 Accepting new patients
William F Goss DC I PLLC Chiropractor PastSince Jul 20, 2016 Accepting new patients

Locations

2050 Chesley Dr
Sterling Hts, MI 48310
Phone (586) 268-8882

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1780791145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CHESLEY DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104818",
            "telephone_number": "586-268-8882",
            "fax_number": "586-268-5305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27322 23 MILE RD STE 3",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480512032",
            "telephone_number": "586-598-9120",
            "fax_number": "586-598-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZIN",
        "first_name": "JASON",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JB008115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754026",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.