Organization Active NPI

Richard S. Butler DDS, PA

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1881041671
Registry record updated May 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6958 Issued in NC
Legal business name
RICHARD S. BUTLER DDS, PA
Practice address
4837 Carolina Beach Rd
Suite # 202
Wilmington, NC 28412-2368
Phone
(910) 799-9916
NPI assigned
May 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2016

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

Authorized official

Name
Mrs. Susanne Linda Butler, PT
Title
Practice Manager
Phone
(910) 617-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6958 NC Primary

Addresses

Primary practice location

4837 Carolina Beach Rd
Suite # 202
Wilmington, NC 28412-2368

Mailing address

PO Box 16702
Wilmington, NC 28408-6702
Phone (910) 799-9916

Other names 1

  • Richard S. Butler DDS, PA and Associates Other name

National Provider Directory

National Provider Directory

Locations

4837 Carolina Beach Rd
Ste 202
Wilmington, NC 28412
Phone (910) 799-9916

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463788800000",
    "number": "1881041671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16702",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284086702",
            "telephone_number": "910-799-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4837 CAROLINA BEACH RD",
            "address_2": "SUITE # 202",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122368",
            "telephone_number": "910-799-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S. BUTLER DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-21",
        "last_updated": "2016-05-21",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "SUSANNE",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "910-617-1211",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard S. Butler DDS, PA and Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2016; 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.