CHRISTOPHER ANTHONY BUTTNER DDS
Complete NPI Record 1750340147
Dentist - Oral and Maxillofacial Surgery in Albuquerque, NM

NPI Status: Active since March 22, 2006

Contact Information

6800 MONTGOMERY BLVD NE
SUITE A
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 881-1130
Fax: (505) 881-2081

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Complete NPI Dataset

This page represents the complete record for NPI 1750340147. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1750340147
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: CHRISTOPHER
The first name of the provider, if the provider is an individual.
Provider Middle Name: ANTHONY
The middle name of the provider, if the provider is an individual.
Provider Credential Text: DDS
The State code in the location of the provider being identified.
Provider First Line Business Mailing Address: 6800 MONTGOMERY BLVD NE
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Second Line Business Mailing Address: SUITE A
The country code in the location address of the provider being identified.
Provider Business Mailing Address City Name: ALBUQUERQUE
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address State Name: NM
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Postal Code: 871091405
The date that a record was last updated or changed.
Provider Business Mailing Address Country Code If outside U S : US
The code designating the provider’s gender if the provider is a person.
Provider Business Mailing Address Telephone Number: 5058811130
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Mailing Address Fax Number: 5058812081
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider First Line Business Practice Location Address: 6800 MONTGOMERY BLVD NE
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Provider Second Line Business Practice Location Address: SUITE A
Provider Business Practice Location Address City Name: ALBUQUERQUE
Provider Business Practice Location Address State Name: NM
Provider Business Practice Location Address Postal Code: 871091405
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 5058811130
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 5058812081
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 3/22/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 7/8/2007
The date that a record was last updated or changed.
Provider Gender Code: M
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 1223S0112X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: DD-1722
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: NM
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Other Provider Identifier 1: 85-0225418
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: NM
Other Provider Identifier Issuer 1: EIN NUMBER
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No