Organization Active NPI

Chris J. Butchart DDS PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tampa, FL
National Provider Identifier
1265445035
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
13578 Issued in FL
Legal business name
CHRIS J. BUTCHART DDS PA
Practice address
5420 Webb Rd
Ste D-1
Tampa, FL 33615-3250
Phone
(813) 886-0545
Fax
(813) 514-4869
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Chris John Butchart, DDS
Title
Owner/Orthodontist
Phone
(813) 886-0545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 13578 FL Primary

Addresses

Primary practice location

5420 Webb Rd
Ste D-1
Tampa, FL 33615-3250

Mailing address

5420 Webb Rd
Ste D-1
Tampa, FL 33615-3250
Phone (813) 886-0545

Other identifiers 2

IdentifierTypeStateIssuer
7273116OtherFLAETNA DENTAL PROVIDER
274669OtherFLCIGNA DENTAL PROVIDER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265445035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 WEBB RD",
            "address_2": "STE D-1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153250",
            "telephone_number": "813-886-0545",
            "fax_number": "813-514-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 WEBB RD",
            "address_2": "STE D-1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336153250",
            "telephone_number": "813-886-0545",
            "fax_number": "813-514-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS J. BUTCHART DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTCHART",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "813-886-0545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "13578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA DENTAL PROVIDER",
            "identifier": "7273116",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DENTAL PROVIDER",
            "identifier": "274669",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.