NPIMap

Organization Active NPI

James R Butler DDS

  • Dentist
  • Huntington, WV
National Provider Identifier
1104076041
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JAMES R BUTLER DDS
Practice address
324 29TH St
Huntington, WV 25702-1428
Phone
(304) 523-2790
Fax
(304) 523-2780
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Ms. Connie Faye Fizer
Title
Office Manager
Phone
(304) 523-2790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

324 29TH St
Huntington, WV 25702-1428

Mailing address

324 29TH Street
Huntington, WV 25702-1428
Phone (304) 523-2790

Other identifiers 3

IdentifierTypeStateIssuer
0136895000MedicaidWV
000155464OtherUNITED CONCORDIA
000155464OtherWVBC/BS

National Provider Directory

National Provider Directory

Locations

324 29th St
Huntington, WV 25702
Phone (304) 523-2790

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1104076041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 29TH STREET",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021428",
            "telephone_number": "304-523-2790",
            "fax_number": "304-523-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 29TH ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021428",
            "telephone_number": "304-523-2790",
            "fax_number": "304-523-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R BUTLER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "FIZER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "304-523-2790",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136895000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "000155464",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000155464",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.