Tyler Ray Orn, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

34117 Issued in TX

Practice address

9595 Six Pines Dr Ste 1370
Spring, TX 77380-1540

Phone

(281) 298-2433

NPI assigned

Jun 28, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• TX HMO D-SNP
• NM HMO C-SNP

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.

• The Woodlands Modern Dentistry and Orthodontics, PC

  • General Practice Dentistry
  • The Woodlands, TX
  • NPI 1376823260
  NPD (past)

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1003301458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 COPPERCREST DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773862565",
            "telephone_number": "328-282-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9595 SIX PINES DR STE 1370",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773801540",
            "telephone_number": "281-298-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORN",
        "first_name": "TYLER",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TSBDE",
            "identifier": "34117",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimum Diagnostics LLC
• Orcoquiza Emergency Physicians, PLLC
• Prescilla Orellana
• Nichar Oreste
• Nkechinyere Crystal Orisakwe, APRN, FNP-BC
• Arianna Orozco Garcia, NP
• Alejandro Orozco
• Jennifer Orozco
• Irene Ortega Concepcion
• Stephanie Renee Ortega

• Dentist in Spring, TX
• Providers in Spring, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.