William Peter Butrica Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B42036 Issued in CA

Practice address

990 Sonoma Ave
Suite #22
Santa Rosa, CA 95404-4802

Phone

(707) 528-8400

NPI assigned

Dec 17, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• William Peter Butrica Jr. DDS, a Professional Corporation

  • Dental Clinic/Center
  • Santa Rosa, CA
  • NPI 1801166129
  NPD (past) Authorized official

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1063575736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE",
            "address_2": "SUITE #22",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044802",
            "telephone_number": "707-528-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE",
            "address_2": "SUITE #22",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044802",
            "telephone_number": "707-528-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTRICA",
        "first_name": "WILLIAM",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-17",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B42036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariangela Butera
• Anissa C Butler, MD
• Caitlin Siobhan Butler, LMFT, LPCC
• Katherine Ellen Butler, AMFT
• Natalie Butler
• Pamela Susan Butterfield, P.T.
• Penelope Anne Butterfield
• Hannah Lee Kealoha Button
• Jeniece Butts
• Anne Katherine Buxbaum, MFT

• General Practice Dentistry in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.