Individual provider Active NPI

Christopher Ray Butler, D.C.

  • Chiropractor
  • San Tan Valley, AZ
National Provider Identifier
1851401772
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7506 Issued in AZ
Practice address
85 W Combs Rd
Suite 109
San Tan Valley, AZ 85140-9105
Phone
(480) 882-9105
Fax
(480) 458-5833
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7506 AZ Primary

Addresses

Primary practice location

85 W Combs Rd
Suite 109
San Tan Valley, AZ 85140-9105

Mailing address

85 W Combs Rd
Suite 109
San Tan Valley, AZ 85140-9105
Phone (480) 882-9105

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041013000390 AZ Practitioner - Chiropractic 2062472426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Chiropractic PLLCGroup PAC ID 5890013940, 3 clinicians

Practice addresses (Care Compare)

85 W Combs Rd
Suite 109
San Tan Valley, AZ 85140-9107
Phone (480) 882-9105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7506AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Chiropractic PLLC Chiropractor CurrentSince Dec 13, 2014 Accepting new patients
Mustang Chiropractic, LLC Chiropractor PastSince Oct 12, 2004 Accepting new patients

Locations

85 W Combs Rd
Ste 109
San Tan Vly, AZ 85140
Phone (480) 882-9105

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1851401772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W COMBS RD",
            "address_2": "SUITE 109",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409105",
            "telephone_number": "480-882-9105",
            "fax_number": "480-458-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W COMBS RD",
            "address_2": "SUITE 109",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409105",
            "telephone_number": "480-882-9105",
            "fax_number": "480-458-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "CHRISTOPHER",
        "middle_name": "RAY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.