Mark Douglas Butler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1155 Issued in AR

Practice address

2301 Highway 367 N
Newport, AR 72112-2325

Phone

(870) 523-5257

Fax

(870) 523-5263

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Wynne Chiropractic Clinic, Inc

  • Chiropractor
  • Newport, AR
  • NPI 1477759207

  AR, Chiropractor

  Medicare reassignment NPD Authorized official
• Wynne Chiropractic Clinic, Inc.

  • Chiropractor
  • Newark, AR
  • NPI 1184713000
  NPD

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1790759504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HIGHWAY 367 N",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721122325",
            "telephone_number": "870-523-5257",
            "fax_number": "870-523-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 HIGHWAY 367 N",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721122325",
            "telephone_number": "870-523-5257",
            "fax_number": "870-523-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MARK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138695001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryant Holifield & Davis Pharmacy
• Michael Bryant Jr.
• Lindsey Burgess, PT
• Stephanie Ann Burgess, APRN-CNP PMHNP
• Allen Busby
• Jaime Michell Campbell, APRN
• Joanna Michelle Cantrell Kelley, BSE, M.ED
• Capes Dialysis LLC
• Kara Lynette Carpenter Treadway
• Cornel Carryl

• All providers in Newport, AR
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.