Active NPI
Joseph John Butasek Sr., DDS
- Dentist
- Bolling Afb, DC
National Provider Identifier
1093709685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS019232L
- Practice address
- 238 Brookley Ave
Bolling Afb, DC 20037-7050 - Phone
- (202) 767-5626
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS019232L | PA | Primary |
Addresses
Primary practice location
238 Brookley Ave
Bolling Afb, DC 20037-7050
Mailing address
1120 Alden Rd
Alexandria, VA 22308-2554
Phone (703) 799-6614
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS019232L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093709685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 ALDEN RD",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223082554",
"telephone_number": "703-799-6614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 BROOKLEY AVE",
"city": "BOLLING AFB",
"state": "DC",
"postal_code": "200377050",
"telephone_number": "202-767-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTASEK",
"first_name": "JOSEPH",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS019232L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolling Afb, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.