Active NPI
Donald Michael Butera, D.C.
- Chiropractor
- South San Francisco, CA
National Provider Identifier
1881880318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11278
- Practice address
- 367 El Camino Real
South San Francisco, CA 94080-5923 - Phone
- (650) 583-4719
- Fax
- (650) 583-4727
- NPI assigned
- Sep 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11278 | CA | Primary |
Addresses
Primary practice location
367 El Camino Real
South San Francisco, CA 94080-5923
Mailing address
15550 Rockfield Blvd
B220
Irvine, CA 92618-2720
Phone (949) 598-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC11278 | Other | CA | CHIROPRACTIC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1881880318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15550 ROCKFIELD BLVD",
"address_2": "B220",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182720",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 EL CAMINO REAL",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805923",
"telephone_number": "650-583-4719",
"fax_number": "650-583-4727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTERA",
"first_name": "DONALD",
"middle_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "11278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE",
"identifier": "DC11278",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.