Individual provider Active NPI

Rupinder Buttar, DDS

  • Dentist
  • San Rafael, CA
National Provider Identifier
1932364361
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57190 Issued in CA
Practice address
801 A St
San Rafael, CA 94901-3010
Phone
(415) 460-9744
Fax
(415) 460-9740
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 57190 CA Primary

Addresses

Primary practice location

801 A St
San Rafael, CA 94901-3010

Mailing address

801 A St
San Rafael, CA 94901-3010
Phone (415) 460-9744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
57190CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1932364361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 A ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013010",
            "telephone_number": "415-460-9744",
            "fax_number": "415-460-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 A ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013010",
            "telephone_number": "415-460-9744",
            "fax_number": "415-460-9740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTAR",
        "first_name": "RUPINDER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.