Tyler Villiard, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DDS-09443 Issued in IA

Practice address

65 School St
Carlisle, IA 50047-8782

Phone

(515) 989-3180

Fax

(515) 989-2071

NPI assigned

Aug 15, 2017

Last updated

Jul 21, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Aria Dental Care PC

  • Dentist
  • Overland Park, KS
  • NPI 1942977632

  IA

  Medicare reassignment NPD

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275059883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 SCHOOL ST",
            "city": "CARLISLE",
            "state": "IA",
            "postal_code": "500478782",
            "telephone_number": "515-989-3180",
            "fax_number": "515-989-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 SCHOOL ST",
            "city": "CARLISLE",
            "state": "IA",
            "postal_code": "500478782",
            "telephone_number": "515-989-3180",
            "fax_number": "515-989-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLIARD",
        "first_name": "TYLER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-0",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Ambrose Simpson, DPT
• Kristin Stopulos
• The Nervous System Co. LLC
• Kyle Glenn Thrap, D.C.
• Jarek M Vetter, PHARMD
• Philip Baxter West Jr., DDS
• Wildcat Chiropractic PLC

• Dentist in Carlisle, IA
• Providers in Carlisle, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.