Organization Active NPI

Tyler M. Davis DDS PA

  • Durable Medical Equipment & Medical Supplies
  • Raleigh, NC
National Provider Identifier
1063991578
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
8811 Issued in NC
Legal business name
TYLER M. DAVIS DDS PA
Practice address
7201 Creedmoor Rd Ste 125
Raleigh, NC 27613-1685
Phone
(919) 556-3780
Fax
(919) 556-1708
NPI assigned
Aug 7, 2018
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Mrs. Tyler M. DavisNPI 1104053057
Title
President
Phone
(919) 556-3780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 8811 NC Primary

Addresses

Primary practice location

7201 Creedmoor Rd Ste 125
Raleigh, NC 27613-1685

Mailing address

7201 Creedmoor Rd Ste 125
Raleigh, NC 27613-1685
Phone (919) 556-3780

National Provider Directory

National Provider Directory
Tax ID family
Davis Tyler3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1063991578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 CREEDMOOR RD STE 125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131685",
            "telephone_number": "919-556-3780",
            "fax_number": "919-556-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 CREEDMOOR RD STE 125",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131685",
            "telephone_number": "919-556-3780",
            "fax_number": "919-556-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER M. DAVIS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-556-3780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "8811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.