Individual provider Active NPI

Luke Thomas Butikofer, DDS

  • General Practice Dentistry
  • Manchester, IA
National Provider Identifier
1356236137
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10344 Issued in IA
Practice address
120 E Fayette St
Manchester, IA 52057-1705
Phone
(563) 927-4746
Fax
(639) 276-2175
NPI assigned
Jun 11, 2025
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10344 IA Primary

Addresses

Primary practice location

120 E Fayette St
Manchester, IA 52057-1705

Mailing address

120 E Fayette St
Manchester, IA 52057-1705
Phone (563) 927-4746

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
10344IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Dental Center PC CurrentSince Jun 15, 2025 Accepting new patients
Dental Associates of Manchester General Practice PastSince Jun 15, 2025 Accepting new patients

Locations

120 E Fayette St
Manchester, IA 52057
Phone (563) 927-4746

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1356236137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E FAYETTE ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571705",
            "telephone_number": "563-927-4746",
            "fax_number": "563-927-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E FAYETTE ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571705",
            "telephone_number": "563-927-4746",
            "fax_number": "639-276-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTIKOFER",
        "first_name": "LUKE",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "10344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.