KELLY ANN BUTLER (NPI# 1639119969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639119969 |
| Entity Type | Individual |
| Full Name | KELLY ANN BUTLER |
| Credential | D.D.S. |
| Practice Address |
11517 Pacific Ave S Tacoma WA 98444-5535 |
| Practice Telephone | 2535376511 |
| Mailing Telephone | 3608979262 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7838 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720445018 | Kelly Butler | Physical Therapist | 319 Runnymede Ave, Jenkintown, PA 19046-2022 | 2016-01-18 |
| 1568750271 | Kelly Brooke Butler | Occupational Therapy Assistant | 3940 Lee Jackson Hwy, Greenville, VA 24440-1705 | 2011-07-14 |
| 1699953885 | Kelly Lynn Butler | Counselor | 307 Congress St, Portland, ME 04101-3638 | 2008-02-10 |
| 1427669092 | Kelly Lee Butler | Behavior Technician | 3070 Riverside Dr Ste 200, Columbus, OH 43221-2547 | 2020-08-16 |
| 1538565718 | Kelly Butler | Specialist/Technologist | 1150 Campo Sano Ave, Suite 200, Coral Gables, FL 33146-1174 | 2014-11-14 |
| 1386916120 | Kelly Jean Butler | Physician Assistant | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2012-02-08 |
| 1801179882 | Kelly Butler | Pharmacist | 5830 N Clinton St, Fort Wayne, IN 46825-5734 | 2011-09-26 |
| 1366744971 | Kelly Dione Butler | Case Manager/Care Coordinator | 3621 N Kelley Ave Ste 100, Oklahoma City, OK 73111-4520 | 2010-12-02 |
| 1164623534 | Kelly A Butler | Pharmacist | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2007-05-31 |
| 1538160650 | Kelly Ann Butler | Nurse Practitioner | 179 River St, Oneonta, NY 13820-2239 | 2005-08-10 |
| Street Address |
11517 PACIFIC AVE S |
| City | TACOMA |
| State | WA |
| Zip Code | 98444-5535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215128301 | Rick K Ouhl D.d.s.,p.s. | Dentist | 11517 Pacific Ave S, Tacoma, WA 98444-5535 | 2007-08-05 |
| 1124085733 | Rickie Kenneth Ouhl | Dentist | 11517 Pacific Ave S, Tacoma, WA 98444-5535 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356820039 | Reuben Edward Robinson | Massage Therapist | 10603 16th Avenue Ct S Apt 8, Tacoma, WA 98444 | 2018-08-13 |
| 1720507601 | Jayna Marie Owens | Counselor | 14016 A Street South, Tacoma, WA 98444 | 2017-09-12 |
| 1578011425 | Kyleigh Harlow | Dietitian, Registered | 11011 Park Ave S, C212, Tacoma, WA 98444 | 2016-09-20 |
| 1104220565 | Kehau Tester | Specialist | 9020 A Street, Tacoma, WA 98444 | 2014-10-14 |
| 1669874061 | Andrea Dawn Mckamey | Massage Therapist | 101 138th St. E., 28, Tacoma, WA 98444 | 2014-09-17 |
| 1841609666 | Marci Oswald | Dental Hygienist | 130 131st Street South, Tacoma, WA 98444 | 2014-08-06 |
| 1841611829 | Lucas Victor Briggs | Physical Therapist | 223 140th St. South Suite # 700, Elite Physical Therapy, Tawma, WA 98444 | 2013-12-18 |
| 1457798092 | Dent Korsmo & Henry D.d.s., P.s. | Dentist | 12165 Pacific Ave, Suite A, Tacoma, WA 98444 | 2013-05-22 |
| 1740521566 | Kristine-cassandra B. Papa | Massage Therapist | 10202 Pacific Ave. S, Suite 215, Tacoma, WA 98444 | 2013-03-04 |
| 1356687941 | Matthew Hockin | Dentist | 223 140th Street South, Suite 800, Tacoma, WA 98444 | 2012-12-31 |
| Find all providers in zip 98444 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672078 | Christopher Hieu-thanh Nguyen | Dentist | Madigan Annex Second Floor Building 9900, Tacoma, WA 98431-0001 | 2020-09-02 |
| 1699308619 | Gaurav Dudeja Pllc | Dentist | 5038 Tacoma Mall Blvd Ste A, Tacoma, WA 98409-7103 | 2020-02-18 |
| 1477032035 | Sampada Jayant Deshpande | Dentist | 4811 Wa Tau Ga Ave Ne, Tacoma, WA 98422-1799 | 2018-08-14 |
| 1962996272 | William Thomas Frei | Dentist | 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 | 2018-06-20 |
| 1720598949 | Alyssa Christine Meister Burns | Dentist | 9900 Lincoln Street (2nd Floor), Tacoma, WA 98431-0001 | 2017-10-02 |
| 1528503141 | Ajaipal Singh Sekhon, Dds, Pllc | Dentist | 2716 N 31st St, Tacoma, WA 98407-6405 | 2017-01-05 |
| 1730543240 | Dale L. Vanderschelden, Dds Chartered | Dentist | 5003 Tacoma Mall Blvd Ste 103, Tacoma, WA 98409-7120 | 2016-04-11 |
| 1639552110 | Philip Henzlik | Dentist | 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2015-07-02 |
| 1639599566 | Adam Yang Dds Ps | Dentist | 15 Oregon Ave Ste 106, Tacoma, WA 98409-7462 | 2014-04-17 |
| 1265778484 | Richard Guzha Dds LLC | Dentist | 2617 6th Ave, Tacoma, WA 98406-7204 | 2012-12-15 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.