Active NPI
Jeral Tyler
- Dentist
- Dunkirk, MD
National Provider Identifier
1235315888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13898
- Practice address
- 2975 Plaza Dr
Dunkirk, MD 20754-2735 - Phone
- (301) 327-5086
- Fax
- (301) 327-5088
- NPI assigned
- Jan 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13898 | MD | Primary |
Addresses
Primary practice location
2975 Plaza Dr
Dunkirk, MD 20754-2735
Mailing address
2975 Plaza Dr
Dunkirk, MD 20754-2735
Phone (301) 327-5086
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
| License | State | Type | Specialty |
|---|---|---|---|
| 13898 | MD | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Dental LLC | Current | Accepting new patients |
Locations
2975 Plaza Dr
Dunkirk, MD 20754
Phone (301) 327-5086
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.
-
- Dental Clinic/Center
- Dunkirk, MD
- NPI 1093004558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1235315888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 PLAZA DR",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207542735",
"telephone_number": "301-327-5086",
"fax_number": "301-327-5088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 PLAZA DR",
"city": "DUNKIRK",
"state": "MD",
"postal_code": "207542735",
"telephone_number": "301-327-5086",
"fax_number": "301-327-5088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "JERAL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-14",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "13898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dunkirk, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.