Tyler Andrew Fix, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10648 Issued in OR

Practice address

80 NE Bend River Mall Ave
Bend, OR 97703-7528

Phone

(541) 647-5555

Fax

(541) 647-5554

NPI assigned

Apr 14, 2017

Last updated

Feb 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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

• Eric M Cadwell DDS PLLC

  dba PureCare Dental of Bend

  • Dental Clinic/Center
  • Bend, OR
  • NPI 1851609416
  NPD

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1255865374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 NE BEND RIVER MALL AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037528",
            "telephone_number": "541-647-5555",
            "fax_number": "541-647-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NE BEND RIVER MALL AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037528",
            "telephone_number": "541-647-5555",
            "fax_number": "541-647-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIX",
        "first_name": "TYLER",
        "middle_name": "ANDREW",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-14",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Fitzmaurice, M.D.
• Joshua D. Fitzmaurice, PAC
• Thomas D Fitzsimmons, MD
• Josephine M Fitzsimons, M.D.
• Patrick Fitzsimons, L.AC.
• Jeremy David Flagel, MD
• Kevin Leo Flaherty, MD
• Meghan Rebecca Flaherty, LCSW
• Kelsey Flake, CADC R
• Jason Flamiatos, M.D., M.P.H.

• General Practice Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.