DR. MELISSA BOEREMA D.D.S
NPI 1457640641
Dentist - General Practice in Butler, MO

Active since March 29, 2011PECOS Enrolled
205 E DAKOTA ST, BUTLER, MO 64730(844) 853-8937 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, Jul 26, 2021, Apr 25, 2018 (3 updates tracked since 2018).

About Dr. Melissa Boerema D.d.s NPPES

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

DR. MELISSA BOEREMA D.D.S (NPI 1457640641) is an individual general practice provider in Butler, Missouri, licensed in Missouri (2010017989) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1457640641
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MELISSA BOEREMACredential: D.D.S
Location Address205 E DAKOTA STButler, MO 64730-2113
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Enumeration DateMarch 29, 2011
Last NPPES UpdateOctober 20, 20223 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
NPI 1457640641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in MO · 2010017989 Licensed in KS · 61142
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.
205 E DAKOTA ST, Butler, MO 64730

Secondary Practice Locations 6

Location 1501 N Sunset LnRaymore, MO 64083-9402 · Phone (844) 853-8937
Location 2101 Hospital DrOsceola, MO 64776-9547 · Phone (844) 853-8937
Location 3107 Broadway StreetEl Dorado Springs, MO 64744-1133 · Phone (844) 853-8937
Location 41800 CommunityClinton, MO 64735-8804 · Phone (844) 853-8937
Location 5301 W Austin BlvdNevada, MO 64772-3124 · Phone (844) 853-8937
Location 62000 N Gaines DrClinton, MO 64735-1132 · Phone (448) 538-9378

Other Identifiers 1

Medicaid405546102MO

Accepted 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)

Dr. Melissa Boerema D.d.s 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 64730 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 6

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

Dentist (General Practice)
205 E DAKOTA ST
BUTLER, MO 64730
Dental Hygienist
205 E DAKOTA ST
BUTLER, MO 64730
Dentist (General Practice)
205 E DAKOTA ST
BUTLER, MO 64730
Clinic/Center (Federally Qualified Health Center (FQHC))
205 E DAKOTA ST
BUTLER, MO 64730
Dentist
205 E DAKOTA ST
BUTLER, MO 64730
Dentist
205 E DAKOTA ST
BUTLER, MO 64730

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 Melissa Boerema's NPI number?

The NPI number for Melissa Boerema is 1457640641. It was assigned to this individual provider in the NPPES registry on March 29, 2011.

Where is Melissa Boerema located?

Melissa Boerema practices at 205 E Dakota St, Butler, MO 64730. The listed phone number is (844) 853-8937.

What is Melissa Boerema's specialty?

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

Is Melissa Boerema enrolled in Medicare?

Yes. Melissa Boerema is registered in the Medicare PECOS enrollment system.

What insurance does Melissa Boerema accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 14 other insurers list Melissa Boerema 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 Melissa Boerema was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.