Tyler James Saxsma, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.034370 Issued in IL

Practice address

9101 S Cicero Ave
Oak Lawn, IL 60453-1804

Phone

(708) 419-1601

NPI assigned

Nov 6, 2023

Last updated

Nov 6, 2023By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1013780683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 W 20TH ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486224",
            "telephone_number": "847-804-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531804",
            "telephone_number": "708-419-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXSMA",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.034370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee Sauriol, RN
• Michael Howard Savin, M.D.
• Samrita Sawhney, DO
• Dalia Sawicki
• Omprakash D Sawlani, MD
• Fardeen Sayed
• Brian M. Sayger, D.O
• Madonna Scatena, APRN
• Steven Charles Schaefer, MD
• Codi Schafer, DPT

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.