NPIMap

Organization Active NPI

Tyrer Dentistry, PA

  • General Practice Dentistry
  • Jonesboro, AR
National Provider Identifier
1144461773
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2525 Issued in AR
Legal business name
TYRER DENTISTRY, PA
Doing business as
Tyrer Dental Care
Practice address
2603 Brown'S Lane
Jonesboro, AR 72401
Phone
(870) 935-4060
Fax
(870) 931-6715
NPI assigned
Mar 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Dr. Dean Austin Tyrer, DDSNPI 1184713133
Title
Owner, Dentist
Phone
(870) 935-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2525 AR Primary

Addresses

Primary practice location

2603 Brown'S Lane
Jonesboro, AR 72401

Mailing address

2603 Brown'S Lane
Jonesboro, AR 72401
Phone (870) 935-4060

Other identifiers 1

IdentifierTypeStateIssuer
101-822-608OtherARARKIDS (MEDICAID FOR CHILDREN)

Other names 1

  • Tyrer Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

2603 Browns Ln
Jonesboro, AR 72401
Phone (870) 227-9080

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1144461773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 BROWN'S LANE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-935-4060",
            "fax_number": "870-931-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 BROWN'S LANE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-935-4060",
            "fax_number": "870-931-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRER DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "TYRER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "870-935-4060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKIDS (MEDICAID FOR CHILDREN)",
            "identifier": "101-822-608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyrer Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.