Mona M. Butani, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DE10039 Issued in WA

Practice address

12911 120TH Ave NE Ste D50
Kirkland, WA 98034-3007

Phone

(425) 820-0900

Fax

(808) 845-0798

NPI assigned

Aug 11, 2006

Last updated

Nov 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Gile DDS PLLC

  • Dental Clinic/Center
  • Bellevue, WA
  • NPI 1366898231
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1861403982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE D50",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343007",
            "telephone_number": "425-820-0900",
            "fax_number": "808-845-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12911 120TH AVE NE STE D50",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343007",
            "telephone_number": "425-820-0900",
            "fax_number": "808-845-0798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14420 NE Bel Red Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980073930",
            "country_code": "US",
            "telephone_number": "425-820-0900",
            "fax_number": "808-845-0798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTANI",
        "first_name": "MONA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT-2151",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE10039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000243600",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Totemlakefamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office website",
            "address_1": "12911 120th Ave NE Ste D50",
            "city": "Kirkland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980343007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Melockoff Burke, ARNP
• Robert S. Burks, MD
• Amanda Frances Burns
• Susan M Burns, LMP
• Chynna Burwell
• Clara Butler
• Rachel Butler
• Brit-Nee Byrd
• Christine Byrd, MA, LMHC
• Kelly Lyn Byrne, M.A., BCBA, LBA

• Dentist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.