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TYLER BOUTTE
NPI 1336982438
Dentist - General Practice in Mobile, AL

Active since June 17, 2024PECOS Enrolled
2423 SCHILLINGER RD S STE 104, MOBILE, AL 36695(251) 634-2345 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Jun 17, 2024 (2 updates tracked since 2024).

About Tyler Boutte NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER BOUTTE (NPI 1336982438) is an individual general practice provider in Mobile, Alabama, licensed in Alabama (D.007547-C1) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1336982438
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTYLER BOUTTE
Location Address2423 SCHILLINGER RD S STE 104Mobile, AL 36695-4142
Mailing Address99 Kneeland St Apt 306Boston, MA 02111-2432 · (337) 579-8282
Phone(251) 634-2345
Sole ProprietorYes
Enumeration DateJune 17, 2024
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1336982438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AL · D.007547-C1
Definition
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.
2423 SCHILLINGER RD S STE 104, Mobile, AL 36695
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Secondary Practice Location 1

Location 11 Kneeland StBoston, MA 02111-1527 · Phone (617) 636-6828

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Boutte is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36695 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY ANN CLARK DDS
Dentist
2423 SCHILLINGER RD S STE 104
MOBILE, AL 36695
Mobile County (507) 398-8318
ROCHELLE KONG-QUEE DDS
Dentist
2423 SCHILLINGER RD S STE 104
MOBILE, AL 36695
Mobile County (251) 634-2345
DR. LESLIE NARITOKU DMD
Dentist (General Practice)
2423 SCHILLINGER RD S STE 104
MOBILE, AL 36695
Mobile County (251) 634-2345
DR. CORBIN WILLIS DMD
Dentist (General Practice)
2423 SCHILLINGER RD S STE 104
MOBILE, AL 36695
Mobile County (251) 270-2229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Boutte's NPI number?

The NPI number for Tyler Boutte is 1336982438. It was assigned to this individual provider in the NPPES registry on June 17, 2024.

Where is Tyler Boutte located?

Tyler Boutte practices at 2423 Schillinger Rd S Ste 104, Mobile, AL 36695. The listed phone number is (251) 634-2345.

What is Tyler Boutte's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tyler Boutte enrolled in Medicare?

Yes. Tyler Boutte is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Boutte accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers list Tyler Boutte as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Boutte was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.