Individual provider Active NPI

Jeffery Durand Butler, CPED

  • Pedorthist
  • University Place, WA
National Provider Identifier
1992660971
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
Practice address
3929 Bridgeport Way W Ste 304
University Place, WA 98466-4455
Phone
(253) 317-4300
NPI assigned
Dec 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PedorthistGroup: 193200000X MULTI-SPECIALTY GROUP 224L00000X Primary

Addresses

Primary practice location

3929 Bridgeport Way W Ste 304
University Place, WA 98466-4455

Mailing address

3929 Bridgeport Way W Ste 304
University Place, WA 98466-4455

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

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Orthotics Multi-Specialty CurrentSince Dec 28, 2025 Accepting new patients
Butler and Brubaker Orthotics and Prosthetics Current Accepting new patients

Locations

3929 Bridgeport Way W
Ste 304
University Place, WA 98466
Phone (253) 317-4300

Organizations & group practices 2

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": "1766361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1992660971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 BRIDGEPORT WAY W STE 304",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 BRIDGEPORT WAY W STE 304",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664455",
            "telephone_number": "253-317-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "JEFFERY",
        "middle_name": "DURAND",
        "name_prefix": "Mr.",
        "credential": "CPED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; 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.