Organization Active NPI

Timothy J Butler, DPM P.C.

  • Podiatrist
  • Edwardsville, IL
National Provider Identifier
1568495356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
TIMOTHY J BUTLER, DPM P.C.
Practice address
235B S Main St
Edwardsville, IL 62025-1921
Phone
(618) 692-9700
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy J Butler I, DPM
Title
Podiatrist-Owner
Phone
(618) 692-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X IL Primary

Addresses

Primary practice location

235B S Main St
Edwardsville, IL 62025-1921

Mailing address

235B S Main St
Edwardsville, IL 62025-1921
Phone (618) 692-9700

National Provider Directory

National Provider Directory

Locations

235 S Main St
Ste B
Edwardsville, IL 62025
Phone (618) 307-9015

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568495356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235B S MAIN ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251921",
            "telephone_number": "618-692-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235B S MAIN ST",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620251921",
            "telephone_number": "618-692-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J BUTLER, DPM P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST-OWNER",
        "authorized_official_telephone_number": "618-692-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.