Thomas Edgar Butler Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6959 Issued in NC

Practice address

524 N Greensboro St
Liberty, NC 27298

Phone

(336) 622-2951

Fax

(336) 622-6155

NPI assigned

Nov 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greg Moses DDS, PLLC

  • Dental Clinic/Center
  • Liberty, NC
  • NPI 1669067385
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336210723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 786",
            "address_2": "524 N GREENSBORO ST",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "27298",
            "telephone_number": "336-622-2951",
            "fax_number": "336-622-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 N GREENSBORO ST",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "27298",
            "telephone_number": "336-622-2951",
            "fax_number": "336-622-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "THOMAS",
        "middle_name": "EDGAR",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline E Baugess, NP
• Thomas Leon Blake, D.C.
• Jonathan Breazeale, DMD
• Brittany Sundblom
• Ellen Kaye Brown
• Caregivers of Liberty I
• Caregivers of Liberty II
• Carol Lee Family Care Home
• Cawh Rehabilitation Services, LLC. (Cawh Physical Therapy)
• Janice Lanette Christenbury

• Dentist in Liberty, NC
• Providers in Liberty, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.