TYLER OWENS DMD NPI 1609268861

NPI Information

NPI: 1609268861
Provider Name: TYLER OWENS, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

PECOS Registration: Yes

Address:
3100 E ZORA ST
WEBB CITY, MO
ZIP 64870
Phone: (417) 228-8286
Get Directions

Tyler Owens, DMD is a pediatric dentistry dentist in Webb City, MO. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Tyler Owens, DMD NPI is 1609268861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3100 E ZORA ST
WEBB CITY, MO
ZIP 64870-770
Phone: (417) 228-8286
Fax: (512) 442-6074

The NPI 1609268861 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/25/2015 and was last updated on 4/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		6969	OKLAHOMA	No
2	1223P0221X	Dentist	Pediatric Dentistry	61520	KANSAS	No
3	1223P0221X	Dentist	Pediatric Dentistry	2019005272	MISSOURI	No
4	1223P0221X	Dentist	Pediatric Dentistry	106	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	200715230A	MEDICAID	OKLAHOMA
2	201253250A	MEDICAID	KANSAS
3	830082149	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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