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Tyler Boutte

Dentist - General Practice β€’ Mobile, AL

Active NPI 1336982438 Individual Practitioner Male Practitioner
Practice location in NPPES

2423 Schillinger Rd S Ste 104
Mobile, AL 366954142

Call 2516342345 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2423 Schillinger Rd S Ste 104

Mobile, AL 366954142

Telephone 2516342345
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Boston, MA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tyler Boutte has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tyler Boutte as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mobile and Alabama

98 active clinicians are listed under Dentist - General Practice with a practice address in Mobile, AL (1,353 in Alabama).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mobile

0% of these 98 clinicians have the CMS telehealth indicator.

0% of these 98 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES AL D.007547-C1

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Alabama State Board of Medical Examiners.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20251016003260

Enrollment State Jurisdiction

AL

PECOS Control ID

4082101696

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1 Kneeland St

Boston, MA 021111527

Phone: 6176366828

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1225713977

Doctor of Dental Surgery

Dr. Leslie Naritoku , DMD

Dentist - General Practice

NPI 1326713181

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 18, 2025

Registered at 2423 SCHILLINGER RD S STE 104, MOBILE, AL 366954142 (Tel: 2516342345)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2025

Dentist (license number reported to NPPES: AL D.007547-C1)

βœ…
NPI Profile Active June 17, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 17, 2024

Registered at 1 KNEELAND ST, BOSTON, MA 021111527 (Tel: 6176366828)

πŸ“
Business Mailing Address (Initial Record) June 17, 2024

Registered at 99 KNEELAND ST APT 306, BOSTON, MA 021112432 (Tel: 3375798282)

πŸ‘€
Provider Name / Credentials (Initial Record) June 17, 2024

Recorded as TYLER BOUTTE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 17, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336982438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2024
Last Update: September 18, 2025
Sole Proprietor: Yes

Other Dentist - General Practices in Mobile

All Dentist - General Practices in Mobile

Mailing Address

99 Kneeland St Apt 306

Boston, MA 021112432

Phone: 3375798282

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.