Active NPI
Baljinder S Buttar, DENTIST
- General Practice Dentistry
- Renton, WA
National Provider Identifier
1467511535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7423
- Practice address
- 4501 NE 4TH St
Suite a
Renton, WA 98059 - Phone
- (425) 226-9770
- Fax
- (425) 687-9188
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00007423 | WA | |
| General Practice Dentistry | 1223G0001X | 7423 | WA | Primary |
Addresses
Primary practice location
4501 NE 4TH St
Suite a
Renton, WA 98059
Mailing address
4501 NE 4TH St
Suite a
Renton, WA 98059
Phone (425) 226-9770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5019690 | Medicaid | WA |
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 |
|---|---|---|---|
| 00007423 | WA | MD | Dentist |
| 7423 | WA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buttar Inc. | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Renton, WA
- NPI 1821319781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1467511535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 NE 4TH ST",
"address_2": "SUITE A",
"city": "RENTON",
"state": "WA",
"postal_code": "98059",
"telephone_number": "425-226-9770",
"fax_number": "425-687-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 NE 4TH ST",
"address_2": "SUITE A",
"city": "RENTON",
"state": "WA",
"postal_code": "98059",
"telephone_number": "425-226-9770",
"fax_number": "425-687-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTTAR",
"first_name": "BALJINDER",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "DENTIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "00007423",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "7423",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5019690",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.