Todd David Butler, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D009191 Issued in AZ

Practice address

2510 E Hunt Hwy Ste 29
San Tan Valley, AZ 85143-5208

Phone

(480) 457-1693

NPI assigned

Jul 3, 2012

Last updated

Nov 3, 2021By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gilbert Kidtastic Dental LLC

  • Pediatric Dentistry
  • Gilbert, AZ
  • NPI 1497396170
  NPD (past)
• Higley Village Kidtastic, LLC

  • Pediatric Dentistry
  • Gilbert, AZ
  • NPI 1447598495
  NPD (past)
• KDC Staples, PLLC

  • Pediatric Dentistry
  • Corpus Christi, TX
  • NPI 1659966323

  General Practice

  NPD (past)
• Paul a Kennedy, Jr., D.D.S., Inc

  • Pediatric Dentistry
  • Corpus Christi, TX
  • NPI 1720008568
  NPD (past)

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1528322658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E HUNT HWY STE 29",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435208",
            "telephone_number": "480-457-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E HUNT HWY STE 29",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435208",
            "telephone_number": "480-457-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "TODD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D009191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vilma M Burke, FNP
• Amy Burks
• Alyssa Danielle Bustos
• Vidalia M Butler-Poku, MD
• Christopher Ray Butler, D.C.
• Brian Cafaro, MD
• Tiffany Cagle-Guthrie, RPSGT, RST, CCSH
• Calm Home LLC
• Careplan Medical LLC
• Krystal Lynn Carey, NP

• Pediatric Dentistry in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.