Timmie Lee Butler, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

105 East Washington Street
Avon, IL 61415-0379

Phone

(309) 465-3165

Fax

(309) 465-7695

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Timmie Lee Butler Professional name

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.

• Tim L. Butler DDS PC

  • General Practice Dentistry
  • Avon, IL
  • NPI 1831265313
  NPD (past) Authorized official

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063586444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "AVON",
            "state": "IL",
            "postal_code": "614150379",
            "telephone_number": "309-465-3165",
            "fax_number": "309-465-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EAST WASHINGTON STREET",
            "city": "AVON",
            "state": "IL",
            "postal_code": "614150379",
            "telephone_number": "309-465-3165",
            "fax_number": "309-465-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "TIMMIE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMMIE",
            "last_name": "BUTLER",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Avon Cud 176
• Avon Nursing Home, Inc.
• Suzanne V Chatterton, SLP
• Joshua Connor, LCSW
• Graham Hospital Association
• Cynthia J. Lock, MT-BC
• Frrederick Gardiner Shaw, MS, LCPC

• General Practice Dentistry in Avon, IL
• Providers in Avon, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.