Active NPI
Sana Javed Butt, D.D.S
- Dentist
- Beavercreek, OH
National Provider Identifier
1255692612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- WAITING FOR IT
- Practice address
- 2579 Eagle View Dr
Beavercreek, OH 45431-4707 - Phone
- (518) 339-9113
- NPI assigned
- Jun 1, 2012
- Sex
- Female
- 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 | WAITING FOR IT | OH | Primary |
Addresses
Primary practice location
2579 Eagle View Dr
Beavercreek, OH 45431-4707
Mailing address
2579 Eagle View Dr
Beavercreek, OH 45431-4707
Phone (518) 339-9113
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 |
|---|---|---|---|
| WAITING FOR IT | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1255692612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2579 EAGLE VIEW DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454314707",
"telephone_number": "518-339-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2579 EAGLE VIEW DR",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454314707",
"telephone_number": "518-339-9113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTT",
"first_name": "SANA",
"middle_name": "JAVED",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-01",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "WAITING FOR IT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.