Organization Active NPI

Dr. Clyde Butler, LLC

  • Dentist
  • Stevenson, AL
National Provider Identifier
1043484686
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DR. CLYDE BUTLER, LLC
Practice address
43200 US Highway 72
Stevenson, AL 35772-6702
Phone
(256) 437-2158
Fax
(256) 437-2230
NPI assigned
Apr 15, 2008
Last updated
Jun 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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

Authorized official

Name
Dr. Clyde W. Butler II, D.M.D.NPI 1730218645
Title
Ceo
Phone
(256) 437-2185

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
Dentist 122300000X Primary

Addresses

Primary practice location

43200 US Highway 72
Stevenson, AL 35772-6702

Mailing address

43200 US Highway 72
Stevenson, AL 35772-6702
Phone (256) 437-2158

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213488000000",
    "number": "1043484686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43200 US HIGHWAY 72",
            "city": "STEVENSON",
            "state": "AL",
            "postal_code": "357726702",
            "telephone_number": "256-437-2158",
            "fax_number": "256-437-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43200 US HIGHWAY 72",
            "city": "STEVENSON",
            "state": "AL",
            "postal_code": "357726702",
            "telephone_number": "256-437-2158",
            "fax_number": "256-437-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CLYDE BUTLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-06-15",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-437-2185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevenson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.