Active NPI
Christopher A Butler, D.M.D.
- Dentist
- Corvallis, OR
National Provider Identifier
1306121223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9676
- Practice address
- 1769 NW Kings Blvd
Corvallis, OR 97330-1905 - Phone
- (541) 757-0755
- NPI assigned
- Oct 12, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D9676 | OR | Primary |
Addresses
Primary practice location
1769 NW Kings Blvd
Corvallis, OR 97330-1905
Mailing address
811 Mimosa St S
Salem, OR 97302-5676
Phone (503) 881-3079
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 |
|---|---|---|---|
| D9676 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333065600000",
"number": "1306121223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 MIMOSA ST S",
"city": "SALEM",
"state": "OR",
"postal_code": "973025676",
"telephone_number": "503-881-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1769 NW KINGS BLVD",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973301905",
"telephone_number": "541-757-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "CHRISTOPHER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-12",
"last_updated": "2012-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.