Jeffrey Butler, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS030041L Issued in PA

Practice address

770 Route 819 S
Mt Pleasant, PA 15666-2144

Phone

(724) 547-7581

Fax

(724) 547-7582

NPI assigned

Jun 27, 2006

Last updated

Aug 14, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mt. Pleasant Dental Associates PC

  • Dentist
  • Mt Pleasant, PA
  • NPI 1669816930
  NPD (past) Authorized official

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1043247869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156660954",
            "telephone_number": "724-547-7581",
            "fax_number": "724-547-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 ROUTE 819 S",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156662144",
            "telephone_number": "724-547-7581",
            "fax_number": "724-547-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS030041L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Boyer, CNM
• Beth Ann Bretz, C.R.N.P.
• Debra Brown, RNFA
• Howard Brumberg, M.D.
• Burns Drug Company
• Bethany Campbell, RN
• Paige Campbell, M.D.
• Abigail Irene Casey
• Alyssa Ann Cash, PA-C
• Molly Castille, M.D.

• Dentist in Mt Pleasant, PA
• Providers in Mt Pleasant, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.