Individual provider Active NPI

George Everett Butler Sr., D.D.S.

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1396720595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
002296 Issued in TN
Practice address
341 22ND Ave N
Nashville, TN 37203-1841
Phone
(615) 327-4939
Fax
(615) 327-1126
NPI assigned
Dec 9, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 002296 TN Primary

Addresses

Primary practice location

341 22ND Ave N
Nashville, TN 37203-1841

Mailing address

341 22ND Ave N
Nashville, TN 37203-1841
Phone (615) 327-4939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20170104000127 TN Practitioner - Dentist 6608157789 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002296TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Medical College CurrentSince Nov 20, 2016 Accepting new patients

Locations

1005 Dr Db Todd Jr Blvd
Nashville, TN 37208
Phone (615) 327-6000

Organizations & group practices 1

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396720595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031841",
            "telephone_number": "615-327-4939",
            "fax_number": "615-327-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031841",
            "telephone_number": "615-327-4939",
            "fax_number": "615-327-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "GEORGE",
        "middle_name": "EVERETT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "002296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.