Individual provider Active NPI

Tyler Rogaliner, DMD

  • Dentist
  • Toledo, OH
National Provider Identifier
1174208136
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.027238 Issued in OH
Practice address
4154 Secor Rd
Toledo, OH 43623-4230
Phone
(419) 475-3494
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.027238 OH
Dentist 122300000X 30.027238 OH Primary

Addresses

Primary practice location

4154 Secor Rd
Toledo, OH 43623-4230

Mailing address

4187 Casey Dr
Lambertville, MI 48144-9598
Phone (734) 347-9386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.027238OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Z. Howard DDS Kris Nicholas DDS James Baburek DDS Inc. General Practice PastSince Jun 25, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1174208136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4187 CASEY DR",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449598",
            "telephone_number": "734-347-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234230",
            "telephone_number": "419-475-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGALINER",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.027238",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.