Alexandria Lauren Butler, DMD, MMSC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

103892 Issued in CA

Practice address

1138 N Brand Blvd Ste B
Glendale, CA 91202-3757

Phone

(818) 552-3636

NPI assigned

Aug 28, 2016

Sex

Female

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

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: abutler1112236@direct.unc.nchie.net

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1730635954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 N BRAND BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023757",
            "telephone_number": "818-552-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N BRAND BLVD STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023757",
            "telephone_number": "818-552-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ALEXANDRIA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DMD, MMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "103892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy T Buser, PH.D.
• Ayisha Din Bushra
• Yuri Busi, M.D.
• Jo-Anne Bustamante, PAC
• Kristine Bustos, NP-C
• Heather Marie Butterfield
• Anil Buyruk, RN
• BV General Inc
• Bva Hospice Care, Inc.
• Scott Joseph Byington

• Endodontics in Glendale, CA
• Providers in Glendale, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.