NPIMap

Organization Active NPI

Mustang Chiropractic, LLC

Doing business as White Mountain Chiropractic

  • Chiropractor
  • Lakeside, AZ
National Provider Identifier
1972706786
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7506 Issued in AZ
Legal business name
MUSTANG CHIROPRACTIC, LLC
Doing business as
White Mountain Chiropractic
Practice address
218 W. White Mountain Blvd.
Suite B
Lakeside, AZ 85929
Phone
(928) 367-5700
Fax
(928) 367-2241
NPI assigned
Jun 8, 2007
Last updated
Oct 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Dr. Christopher Ray Butler, D.C.NPI 1851401772
Title
President
Phone
(928) 367-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7506 AZ Primary

Addresses

Primary practice location

218 W. White Mountain Blvd.
Suite B
Lakeside, AZ 85929

Mailing address

218 W. White Mountain Blvd.
Suite B
Lakeside, AZ 85929
Phone (928) 367-5700

Other identifiers 1

IdentifierTypeStateIssuer
1851401772OtherAZNPI (INDIVIDUAL)

Other names 1

  • White Mountain Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

218 W White Mountain Blvd
Ste B
Lakeside, AZ 85929
Phone (928) 367-5700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1972706786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 W. WHITE MOUNTAIN BLVD.",
            "address_2": "SUITE B",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-367-5700",
            "fax_number": "928-367-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 W. WHITE MOUNTAIN BLVD.",
            "address_2": "SUITE B",
            "city": "LAKESIDE",
            "state": "AZ",
            "postal_code": "85929",
            "telephone_number": "928-367-5700",
            "fax_number": "928-367-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-367-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  (INDIVIDUAL)",
            "identifier": "1851401772",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Mountain Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeside, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.