Tyler Max Torres, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8638817-8903 Issued in UT

Practice address

368 E Riverside Dr Ste 6
St George, UT 84790

Phone

(435) 688-8827

Fax

(435) 688-8826

NPI assigned

Jun 20, 2011

Last updated

May 16, 2018By 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dixie Pediatric Dental

  • Pediatric Dentistry
  • St George, UT
  • NPI 1164837621
  NPD (past)
• TC Pediatric Dentistry LLC

  dba Southeast Pediatric Dentistry

  • Pediatric Dentistry
  • Ketchikan, AK
  • NPI 1366243362
  NPD (past)

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1033405873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 E RIVERSIDE DR STE 6",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847907278",
            "telephone_number": "435-688-8827",
            "fax_number": "435-688-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 E RIVERSIDE DR STE 6",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-688-8827",
            "fax_number": "435-688-8826"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Medical District Dr",
            "address_2": "Graduate Medical Education",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357701",
            "country_code": "US",
            "telephone_number": "214-456-2735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "TYLER",
        "middle_name": "MAX",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "8638817-8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Torres Villadiego
• Benjamin Torres
• Jazmine Torres
• Maribel Torres
• Sarahi Torres
• Total Renal Care Inc (Dixie Dialysis)
• Total Respiratory Care Inc
• Amanda Towe
• Teresa Town
• Kaytlin Faith Townes

• Pediatric Dentistry in St George, UT
• Providers in St George, UT by specialty
• Pediatric Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.