Tyler Overmyer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025236 Issued in OH

Practice address

4050 Gantz Rd
Grove City, OH 43123-4816

Phone

(614) 875-7070

NPI assigned

Aug 30, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1245758226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 DOTEN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123013",
            "telephone_number": "419-769-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 GANTZ RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431234816",
            "telephone_number": "614-875-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERMYER",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopedic One, Inc.
• Aisha Oluwakemi Osanyinpeju, PHARM.D
• Evan Wilhelm Osterman, D.O.
• Ouray Dental LLC
• Nathaniel Overmire, D.O.
• Jeffrey C Overstreet, D.C.
• Jennifer Owens
• Temitope Emily Owolabi, RN
• Maurice-Pierre Page, M.D.
• Shannon M Paige

• General Practice Dentistry in Grove City, OH
• Providers in Grove City, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.