Monte L Butler, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

3173 Issued in AR

Practice address

2713 S 74TH St
Suite 201
Fort Smith, AR 72903-5170

Phone

(479) 484-0200

Fax

(479) 484-9346

NPI assigned

Aug 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Vally Dental-Facial Imaging LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Smith, AR
  • NPI 1619020948
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1306855754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 S 74TH ST",
            "address_2": "SUITE 201",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035170",
            "telephone_number": "479-484-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 S 74TH ST",
            "address_2": "SUITE 201",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729035170",
            "telephone_number": "479-484-0200",
            "fax_number": "479-484-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MONTE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "3173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129118679",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100072650A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie D. Butcher, SLP
• Alexandra Butler
• Alicia Butler
• Drew Butler, PTA
• Miranda Butler
• Davekaran Singh Buttar
• Nicole R Buzzard, QBHP
• Dorotha Diane Bynum, LPC
• Denise Byrd, QBHP
• Hannah Cabe, DDS

• Oral and Maxillofacial Surgery (Dentist) in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.