Active NPI
Rebecca Leigh Butler, DDS
- Dentist
- Marysville, WA
National Provider Identifier
1306369921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60776414
- Practice address
- 3943 116TH St NE
Marysville, WA 98271-8448 - Phone
- (360) 651-9580
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60776414 | WA | Primary |
Addresses
Primary practice location
3943 116TH St NE
Marysville, WA 98271-8448
Mailing address
1379 Bellevue Way NE Apt a
Bellevue, WA 98004-3694
Phone (734) 474-4869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170815004247 | WA | Order and Referring Only - Dentist | 4183996804 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Butler DDS PLLC | Dentist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500940800000",
"number": "1306369921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1379 BELLEVUE WAY NE APT A",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043694",
"telephone_number": "734-474-4869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3943 116TH ST NE",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "982718448",
"telephone_number": "360-651-9580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "REBECCA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-25",
"last_updated": "2017-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60776414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.