Jim G Tyree, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13413 Issued in TX

Practice address

901 S Mo Pac Expy
BLDG. 2, Suite 395
Austin, TX 78746-5776

Phone

(512) 328-4411

Fax

(512) 328-4434

NPI assigned

Feb 7, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1073653127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S MO PAC EXPY",
            "address_2": "BLDG. 2, SUITE 395",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465776",
            "telephone_number": "512-328-4411",
            "fax_number": "512-328-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S MO PAC EXPY",
            "address_2": "BLDG. 2, SUITE 395",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465776",
            "telephone_number": "512-328-4411",
            "fax_number": "512-328-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYREE",
        "first_name": "JIM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Tyler
• Matthew Alexander Tyler, M.D.
• Selena Tyler, MA, LPC
• Zachary Hunter Tyler, CPHT
• Brigitte Tyree
• Brittany Tyrrell, LMSW
• Edward P Tyson, MD
• Mary McKinney Tyson, PT CHT
• Kristina Tzartzeva
• U Gadaria MD Facs PA

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.