Individual provider Active NPI

David W. Butler, DDS

  • Endodontics
  • Silverdale, WA
National Provider Identifier
1679842512
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9928 Issued in WA
Practice address
9692 Levin Rd NW Ste 102
Silverdale, WA 98383-7801
Phone
(360) 307-9797
Fax
(360) 307-9494
NPI assigned
Dec 21, 2011
Last updated
Dec 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 9928 WA Primary

Addresses

Primary practice location

9692 Levin Rd NW Ste 102
Silverdale, WA 98383-7801

Mailing address

9692 Levin Rd NW Ste 102
Silverdale, WA 98383-7801
Phone (360) 307-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160229003084 WA Order and Referring Only - DentistPractitioner - Dentist 5698070662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9928WAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr David W Butler Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1679842512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9692 LEVIN RD NW STE 102",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837801",
            "telephone_number": "360-307-9797",
            "fax_number": "360-307-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9692 LEVIN RD NW STE 102",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837801",
            "telephone_number": "360-307-9797",
            "fax_number": "360-307-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "DAVID",
        "middle_name": "W.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "9928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.