Organization Active NPI

Buttenbaum Orthodontics PC

Doing business as Buttenbaum Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Paoli, PA
National Provider Identifier
1477308039
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BUTTENBAUM ORTHODONTICS PC
Doing business as
Buttenbaum Orthodontics
Practice address
1460 Russell Rd Ste 101
Paoli, PA 19301-1271
Phone
(610) 647-6262
NPI assigned
Apr 18, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Raymond Buttenbaum, DDSNPI 1134320773
Title
President
Phone
(610) 647-6262

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

1460 Russell Rd Ste 101
Paoli, PA 19301-1271

Mailing address

1460 Russell Rd Ste 101
Paoli, PA 19301-1271
Phone (610) 647-6262

Other names 1

  • Buttenbaum Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1460 Russell Rd
Ste 101
Paoli, PA 19301
Phone (610) 647-5778

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1477308039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 RUSSELL RD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011271",
            "telephone_number": "610-647-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 RUSSELL RD STE 101",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011271",
            "telephone_number": "610-647-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTENBAUM ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "BUTTENBAUM",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-647-6262",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buttenbaum Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.