Active NPI
Thomas K Buttler, DDS
- Endodontics
- Cary, NC
National Provider Identifier
1104155043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 3986
- Practice address
- 251 Keisler Dr Ste 200
Cary, NC 27518-7091 - Phone
- (919) 859-6633
- Fax
- (919) 859-6644
- NPI assigned
- Dec 23, 2009
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 3986 | NC | Primary |
Addresses
Primary practice location
251 Keisler Dr Ste 200
Cary, NC 27518-7091
Mailing address
251 Keisler Drive,
Suite 200
Cary, NC 27518
Phone (919) 859-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160201002165 | NC | Order and Referring Only - Oral Surgery | 3173827821 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1104155043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 KEISLER DRIVE,",
"address_2": "SUITE 200",
"city": "CARY",
"state": "NC",
"postal_code": "27518",
"telephone_number": "919-859-6633",
"fax_number": "919-859-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 KEISLER DR STE 200",
"city": "CARY",
"state": "NC",
"postal_code": "275187091",
"telephone_number": "919-859-6633",
"fax_number": "919-859-6644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTLER",
"first_name": "THOMAS",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NC",
"license": "3986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.