Tyler John Varhol, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

13529 Issued in MN

Practice address

550 County Road D W Ste 12
New Brighton, MN 55112-3517

Phone

(127) 889-2466

NPI assigned

Apr 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 14, 2026 through Apr 14, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Regents of the University of Minnesota

  • Federally Qualified Health Center (FQHC)
  • Minneapolis, MN
  • NPI 1114019858
  NPD
• Regents of the University of Minnesota

  • Oral and Maxillofacial Surgery Clinic/Center
  • Minneapolis, MN
  • NPI 1164763629
  NPD
• Regents of the University of Minnesota

  • Clinic Pharmacy
  • Minneapolis, MN
  • NPI 1528288875
  NPD
• Oral & Maxillofacial Surgery Specialists, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Cambridge, MN
  • NPI 1508160060
  NPD (past)
• Oral & Maxillofacial Surgery Specialists, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Waconia, MN
  • NPI 1770694812
  NPD (past)
• Oral & Maxillofacial Surgery Specialists, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Maple Grove, MN
  • NPI 1902917057
  NPD (past)
• Regents of the University of Minnesota

  • Dental Clinic/Center
  • Minneapolis, MN
  • NPI 1457448615

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1003203498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 COUNTY ROAD D W STE 12",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123517",
            "telephone_number": "612-788-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 COUNTY ROAD D W STE 12",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551123517",
            "telephone_number": "127-889-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARHOL",
        "first_name": "TYLER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "13529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joshua Vanheuveln, LADC, CPP
• Lindsey Sue Vaske, CMT
• Kathryn E Vele, APNP
• Ronald Howard Vescio, D.D.S.
• Alex R Vigil
• Village Support Therapy and Consulting LLC

• Oral and Maxillofacial Surgery (Dentist) in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.