Active NPI
Harold E Butler, DDS MHA
- Oral and Maxillofacial Surgery (Dentist)
- Hagerstown, MD
National Provider Identifier
1164523916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7188
- Practice address
- 11110 Medical Campus Road
Suite 148
Hagerstown, MD 21742 - Phone
- (240) 313-9660
- Fax
- (240) 313-9661
- NPI assigned
- Sep 26, 2006
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7188 | MD | Primary |
Addresses
Primary practice location
11110 Medical Campus Road
Suite 148
Hagerstown, MD 21742
Mailing address
PO Box 508
10440 Churchill Road
Myersville, MD 21773
Phone (301) 293-3055
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 |
|---|---|---|---|
| 7188 | MD | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164523916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 508",
"address_2": "10440 CHURCHILL ROAD",
"city": "MYERSVILLE",
"state": "MD",
"postal_code": "21773",
"telephone_number": "301-293-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS ROAD",
"address_2": "SUITE 148",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "21742",
"telephone_number": "240-313-9660",
"fax_number": "240-313-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "HAROLD",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "DDS MHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MD",
"license": "7188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- 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.