Active NPI
Lawrence M. Butler, DDS
- Periodontics
- Phoenixville, PA
National Provider Identifier
1336232248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DSO16352
- Practice address
- 1150 Valley Forge Rd Ste 101
Phoenixville, PA 19460-2640 - Phone
- (610) 933-3342
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DSO16352 | PA | Primary |
Addresses
Primary practice location
1150 Valley Forge Rd Ste 101
Phoenixville, PA 19460-2640
Mailing address
PO Box 401
Gwynedd Valley, PA 19437-0401
Phone (215) 896-4418
Other practice location 1
2100 North Broad Street
Ste #204
Lansdale, PA 19446
Phone (215) 368-5110
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 |
|---|---|---|---|
| DSO16352 | PA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kessler Dental Associates PC | Past | Accepting new patients | |
| Lansdale Periodontal Associates, PC | Periodontics | Past | Accepting new patients |
| North Penn Periodontal Associates | Periodontics | Past | Accepting new patients |
| Dental Sleep Medicine Center LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Phoenixville, PA
- NPI 1255737052
-
- General Practice Dentistry
- Phoenixville, PA
- NPI 1396853883
-
- Periodontics
- Lansdale, PA
- NPI 1710355102
-
- Periodontics
- Lansdale, PA
- NPI 1407948326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1336232248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 401",
"city": "GWYNEDD VALLEY",
"state": "PA",
"postal_code": "194370401",
"telephone_number": "215-896-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 VALLEY FORGE RD STE 101",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194602640",
"telephone_number": "610-933-3342"
}
],
"practiceLocations": [
{
"address_1": "2100 North Broad Street",
"address_2": "Ste #204",
"address_purpose": "LOCATION",
"city": "Lansdale",
"state": "PA",
"postal_code": "19446",
"country_code": "US",
"telephone_number": "215-368-5110",
"fax_number": "215-368-2017",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "LAWRENCE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DSO16352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.