Individual provider Active NPI

Daniel Gary Butterman, DDS

  • Dentist
  • Centennial, CO
National Provider Identifier
1003928649
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7218 Issued in CO
Practice address
3949 E Arapahoe Rd Ste 100
Centennial, CO 80122-2069
Phone
(303) 221-3044
Fax
(303) 362-9529
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7218 CO Primary

Addresses

Primary practice location

3949 E Arapahoe Rd Ste 100
Centennial, CO 80122-2069

Mailing address

3949 E Arapahoe Rd Ste 100
Centennial, CO 80122-2069
Phone (303) 221-3044

Other identifiers 1

IdentifierTypeStateIssuer
840801501OtherCOFEDERAL & STATE TAX ID #

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1003928649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 E ARAPAHOE RD STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222069",
            "telephone_number": "303-221-3044",
            "fax_number": "303-362-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 E ARAPAHOE RD STE 100",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222069",
            "telephone_number": "303-221-3044",
            "fax_number": "303-362-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERMAN",
        "first_name": "DANIEL",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "7218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL & STATE TAX ID #",
            "identifier": "840801501",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.