Michael McKay Butler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD4744 Issued in NM

Practice address

6588 E Main St
Farmington, NM 87402-5122

Phone

(505) 326-6800

NPI assigned

Jul 18, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• McKay Butler, DDS, PLLC

  dba Twin Peaks Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Longmont, CO
  • NPI 1356925788
  NPD Authorized official

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811410129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6588 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025122",
            "telephone_number": "505-326-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6588 E MAIN ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874025122",
            "telephone_number": "505-326-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MICHAEL",
        "middle_name": "MCKAY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD4744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valentina Elizabeth Burrola, MSW, LCSW
• Teri Gay Burton
• Vickie Busby, LADAC
• Christian Wolfram Butler, PA-C
• John Winston Butler, PA-C
• Nancy Elizabeth Buyok, M.S. CCC-SLP
• Marlene G Bynum, M.D.
• Johanna Kathryn Byrd
• Juanita Cachucha
• Susan Denise Cahoon, CCCSLP

• General Practice Dentistry in Farmington, NM
• Providers in Farmington, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.