Organization Active NPI

Dale R. Butler, MD, Inc.

  • Orthopaedic Surgery Physician
  • Grass Valley, CA
National Provider Identifier
1891911590
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C35311 Issued in CA
Legal business name
DALE R. BUTLER, MD, INC.
Practice address
105 Catherine LN
Grass Valley, CA 95945-5705
Phone
(530) 477-5911
Fax
(530) 477-1021
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dale R Butler, MD
Title
President
Phone
(530) 477-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X C35311 CA Primary

Addresses

Primary practice location

105 Catherine LN
Grass Valley, CA 95945-5705

Mailing address

105 Catherine LN
Grass Valley, CA 95945-5705
Phone (530) 477-5911

Other identifiers 1

IdentifierTypeStateIssuer
00C353110MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891911590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CATHERINE LN",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455705",
            "telephone_number": "530-477-5911",
            "fax_number": "530-477-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CATHERINE LN",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455705",
            "telephone_number": "530-477-5911",
            "fax_number": "530-477-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE R. BUTLER, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-477-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C35311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C353110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.