Organization Active NPI

Tyler Oral & Facial Surgery Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Trophy Club, TX
National Provider Identifier
1093673618
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
TYLER ORAL & FACIAL SURGERY INC.
Practice address
2800 E Highway 114 Ste 360
Trophy Club, TX 76262-5309
Phone
(682) 514-9026
Fax
(682) 514-9275
NPI assigned
Jan 13, 2026
Organization subpart
Yes
Parent organization
TYLER ORAL & FACIAL SURGERY INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Katie Harris
Title
RCM Supervisor
Phone
(903) 592-1664

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

2800 E Highway 114 Ste 360
Trophy Club, TX 76262-5309

Mailing address

2800 E Highway 114 Ste 360
Trophy Club, TX 76262-5309
Phone (682) 514-9026

National Provider Directory

National Provider Directory
Tax ID family
Tyler Oral Facial Surgery Inc2 organizations share this tax ID, including this one
Part of
Tyler Oral Facial Surgery Inc

Other organizations with this tax ID 1

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

Locations

2800 E Highway 114
Ste 360
Trophy Club, TX 76262
Phone (682) 514-9026

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1093673618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E HIGHWAY 114 STE 360",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625309",
            "telephone_number": "682-514-9026",
            "fax_number": "682-514-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E HIGHWAY 114 STE 360",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625309",
            "telephone_number": "682-514-9026",
            "fax_number": "682-514-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER ORAL & FACIAL SURGERY INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TYLER ORAL & FACIAL SURGERY INC.",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "RCM SUPERVISOR",
        "authorized_official_telephone_number": "903-592-1664"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trophy Club, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.