Individual provider Active NPI

Eugene John Butera, D.D.S.

  • General Practice Dentistry
  • Garden City, NY
National Provider Identifier
1801898093
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039589-1 Issued in NY
Practice address
233 7TH St
Ste 301
Garden City, NY 11530-5747
Phone
(516) 248-1775
Fax
(516) 248-2313
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 039589-1 NY Primary

Addresses

Primary practice location

233 7TH St
Ste 301
Garden City, NY 11530-5747

Mailing address

6 Valley St
Huntington, NY 11743-2762
Phone (631) 421-0462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130626000452 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1456590256

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: ebutera307814@nyumc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801898093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 VALLEY ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432762",
            "telephone_number": "631-421-0462",
            "fax_number": "631-673-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 7TH ST",
            "address_2": "STE 301",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305747",
            "telephone_number": "516-248-1775",
            "fax_number": "516-248-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTERA",
        "first_name": "EUGENE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039589-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.