Individual provider Active NPI

Conner Blaine Buttry, DC

  • Chiropractor
  • New Paris, PA
National Provider Identifier
1811729429
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011968 Issued in PA
Practice address
1634 Quaker Valley Rd
New Paris, PA 15554-8509
Phone
(814) 624-0606
NPI assigned
Aug 14, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011968 PA Primary

Addresses

Primary practice location

1634 Quaker Valley Rd
New Paris, PA 15554-8509

Mailing address

567 Main St
Osterburg, PA 16667-8323
Phone (814) 418-8337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250107000384 PA Practitioner - Chiropractic 7618405564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Live Well Chiropractic PCGroup PAC ID 1658465349, 4 clinicians

Practice addresses (Care Compare)

1634 Quaker Valley Rd
New Paris, PA 15554-8509
Phone (814) 624-0606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011968PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Live Well Chiropractic, P.C. Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Buttry Chiropractic PLLC Chiropractor Current Accepting new patients

Locations

1634 Quaker Valley Rd
New Paris, PA 15554
Phone (814) 285-6412

1634 Quaker Valley Rd
#2
New Paris, PA 15554
Phone (814) 624-0606

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, 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": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1811729429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 MAIN ST",
            "city": "OSTERBURG",
            "state": "PA",
            "postal_code": "166678323",
            "telephone_number": "814-418-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 QUAKER VALLEY RD",
            "city": "NEW PARIS",
            "state": "PA",
            "postal_code": "155548509",
            "telephone_number": "814-624-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTRY",
        "first_name": "CONNER",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paris, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.