Tyler Melzer, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN-DEN-LIC-7794 Issued in MT

Practice address

4265 Fallon St
Suite #2
Bozeman, MT 59718-6797

Phone

(406) 587-7411

Fax

(406) 587-2357

NPI assigned

Jun 24, 2014

Sex

Male

Sole proprietor

Yes

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

Enrolled in MT

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

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.

• Alpenglow Family Dentistry PLLC

  • General Practice Dentistry
  • Bozeman, MT
  • NPI 1053877068
  NPD (past) Authorized official
• Brand D Robinson DDS, PC

  • General Practice Dentistry
  • Bozeman, MT
  • NPI 1841414935
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1033524434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 FALLON ST",
            "address_2": "SUITE #2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186797",
            "telephone_number": "406-587-7411",
            "fax_number": "406-587-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 FALLON ST",
            "address_2": "SUITE #2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186797",
            "telephone_number": "406-587-7411",
            "fax_number": "406-587-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELZER",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "DEN-DEN-LIC-7794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Meier
• Sarah Ann Meier
• Melissa Costigan Davis, LCPC
• Savana Melland, PT, DPT
• April Mellito, D.E.M.
• Elizabeth Grace Menaker, LCSW
• Julie Menanno
• Sarah Mendonca
• Douglas Mengel, HAD
• Paul Menkhaus, MD

• General Practice Dentistry in Bozeman, MT
• Providers in Bozeman, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.