Organization Active NPI

Dr Butts Orthodontics PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • South Yarmouth, MA
National Provider Identifier
1851605000
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
18051 Issued in MA
Legal business name
DR BUTTS ORTHODONTICS PC
Practice address
1117 Route 28
South Yarmouth, MA 02664-4457
Phone
(508) 760-3740
NPI assigned
Jul 29, 2010
Organization subpart
Yes
Parent organization
DR BUTTS ORTHODONTICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Authorized official

Name
Dr. Mohamed H Butt, DMD
Title
President
Phone
(508) 760-3740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 18051 MA Primary

Addresses

Primary practice location

1117 Route 28
South Yarmouth, MA 02664-4457

Mailing address

341 Summer St
Somerville, MA 02144-3141
Phone (617) 625-9400

Other identifiers 1

IdentifierTypeStateIssuer
110011177BMedicaidMA

National Provider Directory

National Provider Directory
Tax ID family
Dr Butts Orthodontics PC3 organizations share this tax ID, including this one
Part of
Dr Butts Orthodontics PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

341 Summer St
Somerville, MA 02144
Phone (617) 625-9400

1117 Route 28
South Yarmouth, MA 02664
Phone (508) 760-3740

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280361600000",
    "number": "1851605000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SUMMER ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021443141",
            "telephone_number": "617-625-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 ROUTE 28",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026644457",
            "telephone_number": "508-760-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BUTTS ORTHODONTICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR BUTTS ORTHODONTICS",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A",
        "authorized_official_last_name": "BUTT",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-760-3740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "18051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110011177B",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; 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.