Thomas M. Buttke, PH.D., D.D.S., P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

6960 Issued in NC

Legal business name

THOMAS M. BUTTKE, PH.D., D.D.S., P.A.

Practice address

2522 S Croatan Hwy
Suite 1-C
Nags Head, NC 27959-8809

Phone

(252) 480-6646

Fax

(252) 480-0249

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas M. Buttke, PH.D., D.D.S.NPI 1760591598

Title

President

Phone

(252) 480-6646

Specialties & licenses 1

Addresses

Other names 1

• Coastal Endodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas M. Buttke, PH.D., D.D.S.

  • Endodontics
  • Nags Head, NC
  • NPI 1760591598
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598874356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 S CROATAN HWY",
            "address_2": "SUITE 1-C",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598809",
            "telephone_number": "252-480-6646",
            "fax_number": "252-480-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 S CROATAN HWY",
            "address_2": "SUITE 1-C",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279598809",
            "telephone_number": "252-480-6646",
            "fax_number": "252-480-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M. BUTTKE, PH.D., D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTTKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-480-6646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "6960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kellie Deanne Tatro, PA-C, RRA, RT(R)
• The Outer Banks Hospital Inc
• The Outer Banks Hospital Inc
• The Outer Banks Hospital Inc
• The Outer Banks Hospital, Inc.
• David Stuart Thompson, MD
• Marina Igorevna Turner, FNP-BC
• Harvard John Vanbelois, DDS
• Vann-Virginia Center for Orthopaedics PC
• John Robert Wallace, MSPT

• Endodontics in Nags Head, NC
• Providers in Nags Head, NC by specialty
• Endodontics in North Carolina

• 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.