Organization Active NPI

Jerry L Butler and Associates DDS PLLC

  • Dentist
  • Boone, NC
National Provider Identifier
1841377256
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3655 Issued in NC
Legal business name
JERRY L BUTLER AND ASSOCIATES DDS PLLC
Practice address
851 Blowing Rock Rd
Boone, NC 28607
Phone
(828) 264-5858
Fax
(828) 264-5856
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Jerry L Butler, DDS
Title
President
Phone
(828) 264-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3655 NC Primary

Addresses

Primary practice location

851 Blowing Rock Rd
Boone, NC 28607

Mailing address

851 Blowing Rock Rd
Boone, NC 28607-4865
Phone (828) 264-5858

National Provider Directory

National Provider Directory

Locations

851 Blowing Rock Rd
Boone, NC 28607
Phone (828) 264-5858

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1841377256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 BLOWING ROCK RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074865",
            "telephone_number": "828-264-5858",
            "fax_number": "828-264-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 BLOWING ROCK RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "28607",
            "telephone_number": "828-264-5858",
            "fax_number": "828-264-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L BUTLER AND ASSOCIATES DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-264-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "3655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.