Alyssa Lyn Butler, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7186 Issued in NE

Practice address

505 Cornhusker Rd Ste 102
Bellevue, NE 68005-7911

Phone

(402) 293-1234

NPI assigned

Mar 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Alyssa Lyn Vangilder Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Aesthetic & Family Dentistry LLC

  dba Aesthetic & Family Dentistry:Cameron Larry a DDS

  • General Practice Dentistry
  • Bellevue, NE
  • NPI 1033515903
  NPD (past)

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1508165168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CORNHUSKER RD STE 102",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680057911",
            "telephone_number": "402-293-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CORNHUSKER RD STE 102",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680057911",
            "telephone_number": "402-293-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ALYSSA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011014462",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "VANGILDER",
            "middle_name": "LYN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Billie Buschmeyer
• Devin Bushner
• James Robert Bushor, LMT
• Sarah Jean Buss
• Kathy Bustos, MSW LMHP
• Charice M Butler, LIMHP
• Butterfly Effect Mental Health LLC (Melissa Brown)
• Marissa Byrd
• Stephen Byrne
• C.a.M. Inc (John Edwards Salon & Day Spa)

• Dentist in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.