NPIMap

Organization Active NPI

Tyler C Prestwich DDS Ms PLLC

Doing business as Prestwich Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Minot, ND
National Provider Identifier
1124492327
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2271 Issued in ND
Legal business name
TYLER C PRESTWICH DDS MS PLLC
Doing business as
Prestwich Orthodontics
Practice address
1015 S Broadway
Suite 17
Minot, ND 58701-4667
Phone
(701) 852-2646
NPI assigned
Nov 25, 2015
Last updated
Jan 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Dr. Tyler C Prestwich, DDS, PHD, MSNPI 1518205202
Title
Owner
Phone
(701) 852-2646

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2271 ND Primary

Addresses

Primary practice location

1015 S Broadway
Suite 17
Minot, ND 58701-4667

Mailing address

1015 S Broadway
Suite 17
Minot, ND 58701-4667
Phone (701) 852-2646

Other names 1

  • Prestwich Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1015 S Broadway
Ste 17
Minot, ND 58701
Phone (701) 852-2646

Practitioners & affiliated clinicians

Practitioners 2

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": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1124492327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S BROADWAY",
            "address_2": "SUITE 17",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014667",
            "telephone_number": "701-852-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S BROADWAY",
            "address_2": "SUITE 17",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014667",
            "telephone_number": "701-852-2646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER C PRESTWICH DDS MS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "PRESTWICH",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-852-2646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "ND",
            "license": "2271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestwich Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minot, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.