Individual provider Active NPI

Edward James Butler, DC

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1962036392
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2239 Issued in NM
Practice address
5310 Homestead Rd NE BLDG 4
Albuquerque, NM 87110-1524
Phone
(505) 256-3648
Fax
(505) 256-9778
NPI assigned
Feb 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2239 NM Primary

Addresses

Primary practice location

5310 Homestead Rd NE BLDG 4
Albuquerque, NM 87110-1524

Mailing address

500 Roehl Rd NW
Los Ranchos, NM 87107-6652
Phone (505) 203-6120

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL DrButler@SWIHC.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200404000273 NM Practitioner - Chiropractic 0244669745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Integrative Health Center, LLCGroup PAC ID 6800954819, 8 clinicians

Practice addresses (Care Compare)

4101 Barbara Loop SE
Suite D
Rio Rancho, NM 87124-1011
Phone (505) 891-2667

5310 Homestead Rd NE
Building 400
Albuquerque, NM 87110-1437
Phone (505) 256-3648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sandia View Wellness LLC Chiropractor Current Accepting new patients
Southwest Integrative Health Center, LLC Chiropractor CurrentSince Mar 1, 2020 Accepting new patients

Locations

5310 Homestead Rd NE
Bldg 4
Albuquerque, NM 87110
Phone (505) 256-3648

5310 Homestead Rd NE
Bldg 400
Albuquerque, NM 87110
Phone (505) 256-3648

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1962036392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ROEHL RD NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076652",
            "telephone_number": "505-203-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 HOMESTEAD RD NE BLDG 4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101524",
            "telephone_number": "505-256-3648",
            "fax_number": "505-256-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "2239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "DrButler@SWIHC.com",
            "affiliation": "N",
            "endpointDescription": "Clinic E-mail",
            "address_1": "5310 Homestead Rd NE Bldg 4",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871101524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.