Organization Active NPI

Butler Dental PLLC

  • General Practice Dentistry
  • Madison, WV
National Provider Identifier
1669253472
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BUTLER DENTAL PLLC
Doing business as
Butler Dental PLLC
Practice address
221 State St Ste 102
Madison, WV 25130-1173
Phone
(304) 369-1695
Fax
(304) 369-1706
NPI assigned
Oct 9, 2023
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Dr. Jared Hunter Butler, DDSNPI 1861185910
Title
Owner
Phone
(304) 550-6234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

221 State St Ste 102
Madison, WV 25130-1173

Mailing address

221 State St Ste 102
Madison, WV 25130-1173
Phone (304) 369-1695

Other names 1

  • Butler Dental PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1669253472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 STATE ST STE 102",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301173",
            "telephone_number": "304-369-1695",
            "fax_number": "304-369-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 STATE ST STE 102",
            "city": "MADISON",
            "state": "WV",
            "postal_code": "251301173",
            "telephone_number": "304-369-1695",
            "fax_number": "304-369-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-550-6234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Butler Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Butler Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.