Individual provider Active NPI

Lawrence M. Butler, DDS

  • Periodontics
  • Phoenixville, PA
National Provider Identifier
1336232248
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DSO16352 Issued in PA
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

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DSO16352PAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Kessler Dental Associates PC PastSince Dec 15, 2019 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 PastSince Dec 15, 2019 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.

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.

Verify at the official NPI Registry.