Fatima Azam Butt, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN28274 Issued in FL

Practice address

1382 Howland Blvd Ste 104
Deltona, FL 32738-9739

Phone

(484) 908-8018

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

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.

• Z Family and Cosmetic Dentistry PA

  • General Practice Dentistry
  • Deltona, FL
  • NPI 1467268763
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 10, 2024.

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1316623994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 HOWLAND BLVD STE 104",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 HOWLAND BLVD STE 104",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327389739",
            "telephone_number": "484-908-8018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14054 Beach Blvd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322501596",
            "country_code": "US",
            "telephone_number": "904-821-8330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTT",
        "first_name": "FATIMA",
        "middle_name": "AZAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN28274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landon Buono, RBT
• Maneya Bureros
• Anastasia Burkhart
• Jillian Buscemi
• Rebecca Butler, OTD, OTR/L
• Noel Y. Caban, D.C.
• Liz Cabeza Gil
• Stacey Leigh Cabral
• Yusnavis Cabrales
• Mariella J Cabrera Quijada, MD

• All providers in Deltona, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.