Active NPI
Daniel J Butler, AUDIOLOGIST
- Audiologist
- Knoxville, TN
National Provider Identifier
1487656583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A1337
- Practice address
- 9430 Park West Blvd
Ste 330
Knoxville, TN 37923-4203 - Phone
- (865) 693-6065
- Fax
- (865) 531-6325
- NPI assigned
- Jun 2, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A1337 | TN | Primary |
Addresses
Primary practice location
9430 Park West Blvd
Ste 330
Knoxville, TN 37923-4203
Mailing address
PO Box 31547
Knoxville, TN 37930-1547
Phone (865) 693-6065
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1337 | TN | MD | Athletic Trainer |
| A1337 | TN | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Ear, Nose & Throat Consultants, PC | Audiologist | Current | Accepting new patients |
Locations
9430 Park West Blvd
Ste 330
Knoxville, TN 37923
Phone (865) 271-6534
Dept 888604
Knoxville, TN 37995
576 Fort Loudoun Med Center Dr
Ste 207
Lenoir City, TN 37772
Phone (865) 271-6534
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.
-
- Otolaryngology Physician
- Knoxville, TN
- NPI 1255352266
Audiologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487656583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31547",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379301547",
"telephone_number": "865-693-6065",
"fax_number": "865-531-6325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9430 PARK WEST BLVD",
"address_2": "STE 330",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234203",
"telephone_number": "865-693-6065",
"fax_number": "865-531-6325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "AUDIOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TN",
"license": "A1337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.