Robert Chad Butler

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3690 Issued in SC

Practice address

2608 Main St Unit B
Conway, SC 29526-3760

Phone

(843) 488-2501

Fax

(843) 488-2535

NPI assigned

Feb 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rivertown Dental Care

  • Dentist
  • Conway, SC
  • NPI 1225075880
  NPD (past) Authorized official
• Jennifer Edwards Butler, DMD, PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Conway, SC
  • NPI 1467587477
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962545350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 CARLEITA CIR",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295278610",
            "telephone_number": "843-365-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 MAIN ST UNIT B",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263760",
            "telephone_number": "843-488-2501",
            "fax_number": "843-488-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ROBERT",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9564",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3690",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Allen Burke, D.O.
• Philip Jason Burton
• Charles Peter Busse, M.D.
• Tracey Buster
• Jennifer Edwards Butler, DMD PA
• Alyssa Joy Caggiano, LMSW
• Ryan Cain, DPT
• Margaret Cameron, FNP-C
• Heather Causey Campbell, FNP
• Ida Green Campbell, MA, LMSW

• General Practice Dentistry in Conway, SC
• Providers in Conway, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.