Active NPI
David T. Butler, M.D., P.a.
- Family Medicine Physician
- Austin, TX
National Provider Identifier
1366638298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K-4866
- Legal business name
- DAVID T. BUTLER, M.D., P.A.
- Practice address
- 11940 Jollyville Rd Ste 115South
Austin, TX 78759-2327 - Phone
- (512) 258-5800
- Fax
- (512) 258-5310
- NPI assigned
- Sep 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Tanksley Butler, M.D.
- Title
- President/Owner
- Phone
- (512) 258-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K-4866 | TX | Primary |
Addresses
Primary practice location
11940 Jollyville Rd Ste 115South
Austin, TX 78759-2327
Mailing address
11940 Jollyville Rd Ste 115South
Austin, TX 78759-2327
Phone (512) 258-5800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002244W | Other | TX | MEDICARE GROUP NUMBER |
| 45D1020456 | Other | TX | CLIA |
National Provider Directory
National Provider DirectoryLocations
11940 Jollyville Rd
Ste 115S
Austin, TX 78759
Phone (512) 258-5310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332460800000",
"number": "1366638298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11940 JOLLYVILLE RD STE 115SOUTH",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592327",
"telephone_number": "512-258-5800",
"fax_number": "512-258-5310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11940 JOLLYVILLE RD STE 115SOUTH",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787592327",
"telephone_number": "512-258-5800",
"fax_number": "512-258-5310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID T. BUTLER, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2012-03-23",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "TANKSLEY",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "512-258-5800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K-4866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "002244W",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D1020456",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.