Active NPI
Kimberly Spencer Butts, DMD, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mobile, AL
National Provider Identifier
1679046932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D0006315-C1
- Practice address
- 2727 Pleasant Valley Rd
Mobile, AL 36606 - Phone
- (251) 473-5705
- NPI assigned
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D0006315-C1 | AL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | C16315 | AL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D0006315-C1 | AL | Primary |
Addresses
Primary practice location
2727 Pleasant Valley Rd
Mobile, AL 36606
Mailing address
23953 Montrose Woods Dr
Fairhope, AL 36532-6367
Phone (251) 455-5181
Other practice location 1
6491 Jordan Rd
Daphne, AL 36526-4728
Phone (251) 455-5181
Other names 1
- Dr. Kimi Spencer Butts
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C16315 | AL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| D0006315-C1 | AL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1679046932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23953 MONTROSE WOODS DR",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365326367",
"telephone_number": "251-455-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 PLEASANT VALLEY RD",
"city": "MOBILE",
"state": "AL",
"postal_code": "36606",
"telephone_number": "251-473-5705"
}
],
"practiceLocations": [
{
"address_1": "6491 Jordan Rd",
"address_purpose": "LOCATION",
"city": "Daphne",
"state": "AL",
"postal_code": "365264728",
"country_code": "US",
"telephone_number": "251-455-5181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTTS",
"first_name": "KIMBERLY",
"middle_name": "SPENCER",
"name_prefix": "Dr.",
"credential": "DMD, MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "D0006315-C1",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AL",
"license": "C16315",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "AL",
"license": "D0006315-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMI",
"last_name": "BUTTS",
"middle_name": "SPENCER",
"prefix": "DR.",
"credential": "DMD, MS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.