Tyler Ingersoll DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

201837 Issued in CO

Legal business name

TYLER INGERSOLL DMD PC

Practice address

1160 W Ash St
Windsor, CO 80550-4666

Phone

(970) 686-1186

Fax

(970) 686-1248

NPI assigned

Apr 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Tyler James Ingersoll, DMD

Title

President

Phone

(970) 686-1186

Specialties & licenses 1

Addresses

Other names 1

• Windsor Family Dentistry Doing business as

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1013362276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W ASH ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504666",
            "telephone_number": "970-686-1186",
            "fax_number": "970-686-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 W ASH ST",
            "city": "WINDSOR",
            "state": "CO",
            "postal_code": "805504666",
            "telephone_number": "970-686-1186",
            "fax_number": "970-686-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER INGERSOLL DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "INGERSOLL",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-686-1186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CO",
            "license": "201837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Jane Trusty Larsen, D.C., M.B.M
• Cortney Turnbow, PHARMD
• Haley Marie Turpin, DC
• Tutela Institute, LLC
• Abbigail Tygart
• United Seating and Mobility, LLC
• Sandra Valdes Haas, DC
• Judson Dain Valstad, DMD
• Melissa Ashley Van Kooten, LCSW
• Lynnae Joy Vanderhart, DOULA

• Dental Clinic/Center in Windsor, CO
• Providers in Windsor, CO by specialty
• Dental Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.