Active NPI
Colten Louis Butler, DMD
- Dentist
- Greensboro, NC
National Provider Identifier
1720579865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12797
- Practice address
- 4215 W Wendover Ave
Greensboro, NC 27407-1921 - Phone
- (336) 294-5020
- NPI assigned
- May 24, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10846612-9922 | UT | |
| Dentist | 122300000X | 12797 | NC | Primary |
Addresses
Primary practice location
4215 W Wendover Ave
Greensboro, NC 27407-1921
Mailing address
2000 Bob Jessup Dr
Greensboro, NC 27455-8443
Phone (435) 668-0557
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12797 | NC | MD | Dentist |
| 10846612-9922 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colten Butler DMD PLLC | Current | Accepting new patients |
Locations
4215 W Wendover Ave
Greensboro, NC 27407
Phone (336) 294-5020
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Greensboro, NC
- NPI 1730975095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1720579865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 BOB JESSUP DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274558443",
"telephone_number": "435-668-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4215 W WENDOVER AVE",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274071921",
"telephone_number": "336-294-5020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "COLTEN",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-24",
"last_updated": "2024-07-03",
"certification_date": "2024-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "10846612-9922",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "12797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.