Keisha Butler, D.D.S
NPI 1164834628 · General Practice Dentistry · Bronx, NY
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keisha Butler, D.D.S is a General Practice Dentistry provider in Bronx, NY (NPI 1164834628).
Provider details
- NPI number
- 1164834628
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S
- Sex
- Female
- Sole proprietor
- No
- License
- 2017012302 (MO)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1101 N Providence RdColumbia, MO 65203-4365Phone: (573) 777-8997Fax: (573) 442-5208
Registry dates
- Enumerated
- 2014-06-02
- Last updated
- 2020-08-05
- Certified
- 2020-08-05
Frequently asked questions
- What is Keisha Butler's NPI number?
- Keisha Butler's National Provider Identifier (NPI) is 1164834628, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keisha Butler's specialty?
- Keisha Butler is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Keisha Butler located?
- Keisha Butler's practice location on file with NPPES is 85 W Burnside Ave, Bronx, NY 10453-4015.
- What is Keisha Butler's phone number?
- The practice phone number listed in the NPPES registry for Keisha Butler is (718) 716-4400.
- Does Keisha Butler accept Medicare?
- Keisha Butler is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keisha Butler's NPI active?
- Yes — Keisha Butler's NPI (1164834628) is active in the NPPES registry as of the last update on 2020-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.