Active NPI
Raymond Scott Buttenbaum, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Paoli, PA
National Provider Identifier
1134320773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 026894
- Practice address
- 1460 Russell Road
#101
Paoli, PA 19301-1271 - Phone
- (610) 647-6262
- Fax
- (610) 647-5882
- NPI assigned
- May 30, 2007
- Last updated
- Feb 24, 2014
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 026894 | PA | Primary |
Addresses
Primary practice location
1460 Russell Road
#101
Paoli, PA 19301-1271
Mailing address
1460 Russell Road
#101
Paoli, PA 19301-1271
Phone (610) 647-6262
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 |
|---|---|---|---|
| 026894 | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buttenbaum Orthodontics PC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
1460 Russell Rd
Ste 101
Paoli, PA 19301
Phone (610) 647-5778
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Buttenbaum Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Paoli, PA
- NPI 1477308039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1134320773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 RUSSELL ROAD",
"address_2": "#101",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011271",
"telephone_number": "610-647-6262",
"fax_number": "610-647-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 RUSSELL ROAD",
"address_2": "#101",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011271",
"telephone_number": "610-647-6262",
"fax_number": "610-647-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTENBAUM",
"first_name": "RAYMOND",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "026894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.