Latoya Shemia Butler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN22475 Issued in FL

Practice address

604 E 5TH Ave
Havana, FL 32333-1442

Phone

(850) 539-2222

NPI assigned

Mar 19, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15524/brand/3/csg/1/fhir/r4

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

{
    "created_epoch": "1489881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1003357351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 MICCOSUKEE COMMONS DR APT 1105",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085439",
            "telephone_number": "901-338-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E 5TH AVE",
            "city": "HAVANA",
            "state": "FL",
            "postal_code": "323331442",
            "telephone_number": "850-539-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LATOYA",
        "middle_name": "SHEMIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-19",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "22475",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deshantia Wynette Brown
• Browning Medical and Wellness, LLC
• Camron Browning
• Kimberly Brundidge I
• Anissa Sorrell Butler
• Reginald Dywane Byrd
• Charlene Marie Calvert, LPN
• Caring Hands Home Healthcare
• Michael Andrews Cattell
• Dawn Clayton

• General Practice Dentistry in Havana, FL
• Providers in Havana, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.