Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY ANN BUTLER D.D.S.
NPI 1639119969
Dentist - General Practice in Tacoma, WA

Q: What is Kelly Butler's NPI number?

The NPI number for Kelly Butler is 1639119969. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Kelly Butler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Butler was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.

Active since June 07, 2006PECOS Enrolled

11517 PACIFIC AVE S, TACOMA, WA 98444(253) 537-6511 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kelly Ann Butler D.d.s. NPPES

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

KELLY ANN BUTLER D.D.S. (NPI 1639119969) is an individual general practice provider in Tacoma, Washington, licensed in California (7838) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639119969

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameKELLY ANN BUTLERCredential: D.D.S.

Location Address11517 PACIFIC AVE STacoma, WA 98444-5535

Mailing Address11517 Pacific Ave STacoma, WA 98444-5535 · (360) 897-9262

Phone(253) 537-6511

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1639119969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 7838

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.

11517 PACIFIC AVE S, Tacoma, WA 98444

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.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)

Kelly Ann Butler 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 98444 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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

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

RICK K OUHL D.D.S.,P.S.

Dentist (General Practice)

11517 PACIFIC AVE S
TACOMA, WA 98444

Pierce County (253) 537-6511

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 Kelly Butler's NPI number?

The NPI number for Kelly Butler is 1639119969. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Kelly Butler located?

Kelly Butler practices at 11517 Pacific Ave S, Tacoma, WA 98444. The listed phone number is (253) 537-6511.

What is Kelly Butler's specialty?

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

Is Kelly Butler enrolled in Medicare?

Yes. Kelly Butler is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Butler accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kelly Butler 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 Kelly Butler was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.