Nolin Clark Butler, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10526 Issued in SC

Practice address

7241 Broad River Rd
Irmo, SC 29063-8164

Phone

(803) 732-3650

NPI assigned

Jul 5, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 10, 2023 through Oct 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sweet Dreams Nurse Anesthesiology of SC LLC

  • Certified Registered Nurse Anesthetist
  • Daniel Island, SC
  • NPI 1750713699
  NPD (past)

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1700563335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CORNWALL RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043522",
            "telephone_number": "843-602-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7241 BROAD RIVER RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290638164",
            "telephone_number": "803-732-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "NOLIN",
        "middle_name": "CLARK",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "10526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Burgess
• Brittany M Burke, CCC-SLP
• William Augustine Burn III, DMD
• Raquel Burrows
• Takaya Hall Burton, BCBA
• BX Basics
• C.O.P.E. With Janelle, LLC
• C&S Dynasty Wealth Builders LLC (All Around Care Services)
• Rachel L. Callis-Wolfe, MD
• Joshua J Canfield, DPT

• General Practice Dentistry in Irmo, SC
• Providers in Irmo, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.