Active NPI
Henry King Butler Jr., MD
- Dermatology Physician
- Murfreesboro, TN
National Provider Identifier
1669485652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD0000004757
- Practice address
- 515 Highland Terrace
Suite a
Murfreesboro, TN 37130-2423 - Phone
- (615) 890-0827
- Fax
- (615) 890-0828
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD0000004757 | TN | Primary |
Addresses
Primary practice location
515 Highland Terrace
Suite a
Murfreesboro, TN 37130-2423
Mailing address
515 Highland Terrace
Suite a
Murfreesboro, TN 37130-2423
Phone (615) 890-0827
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3163069 | Medicaid | TN | |
| P00133922 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000004757 | TN | MD | Dermatology Physician |
| 4757 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669485652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 HIGHLAND TERRACE",
"address_2": "SUITE A",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302423",
"telephone_number": "615-890-0827",
"fax_number": "615-890-0828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 HIGHLAND TERRACE",
"address_2": "SUITE A",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371302423",
"telephone_number": "615-890-0827",
"fax_number": "615-890-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "HENRY",
"middle_name": "KING",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "MD0000004757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3163069",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00133922",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.