Andy Roy Butcher, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4203 Issued in SC

Practice address

552 Otis Blvd
Spartanburg, SC 29302-2606

Phone

(864) 583-2737

Fax

(864) 576-9678

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Southern Smiles Dental Studio Columbia LLC

  • Dental Clinic/Center
  • Columbia, SC
  • NPI 1477055481
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477588804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 OTIS BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022606",
            "telephone_number": "864-583-2737",
            "fax_number": "864-576-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 OTIS BLVD",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022606",
            "telephone_number": "864-583-2737",
            "fax_number": "864-576-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTCHER",
        "first_name": "ANDY",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Burt, ATC
• Danielle Burton, LMFT-A
• Donna Burton, APRN
• Patrick Matthew Burton, DO
• James Bush, D.M.D.
• Henry Frederick Butehorn III, M.D.
• Nikklaus Butler, RN, BSN
• Louis Buttino, MD
• David Edward Butts, DMD
• April Fuller Byars

• General Practice Dentistry in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.