Healthcare Provider Details

I. General information

NPI: 1154207835
Provider Name (Legal Business Name): NOAH SPENCER BUTENAS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16409 BIRCH ST
OVERLAND PARK KS
66085-7842
US

IV. Provider business mailing address

16409 BIRCH ST
OVERLAND PARK KS
66085-7842
US

V. Phone/Fax

Practice location:
  • Phone: 913-707-1284
  • Fax:
Mailing address:
  • Phone: 913-707-1284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2025034001
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: