Elwira Tyra, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN1858873 Issued in MA

Practice address

41 Taylor St Ste 4
Springfield, MA 01103-1332

Phone

(413) 781-7645

NPI assigned

Jun 30, 2016

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Female

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

Enrolled in MA

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.

• Taylor Street Dental GPS PLLC

  dba Taylor Street Dental

  • General Practice Dentistry
  • Springfield, MA
  • NPI 1770468712
  NPD

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1275984205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 TAYLOR ST STE 4",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031332",
            "telephone_number": "413-781-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 TAYLOR ST STE 4",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031332",
            "telephone_number": "413-781-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRA",
        "first_name": "ELWIRA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1858873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Tyler, MD
• Michelle Sutton Tyler, M.A., M.A.
• Beata Tyminska-Paluchowska, M.D.
• Anjali Willow Tyner
• Debra Tynes
• Lisa Katherine Tyrrell
• Adam Thomas Tyson, M.D.
• Barbara J Tyson, CLENICIAN
• Cassie Tyson
• Gina Tytula, CNM

• General Practice Dentistry in Springfield, MA
• Providers in Springfield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.