Devin K. Tanner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1382 Issued in WY

Practice address

125 W Flaming Gorge Way Ste B
Green River, WY 82935-4213

Phone

(307) 875-7770

NPI assigned

Jul 7, 2014

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

Enrolled in WY

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

Practice roles

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.

• Tanner Family Dentistry, Devin K. Tanner DDS, LLC

  • General Practice Dentistry
  • Green River, WY
  • NPI 1346648656
  NPD (past) Authorized official
• Glenn S. Parry, DMD, PC

  • General Practice Dentistry
  • Green River, WY
  • NPI 1639375975
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1285040634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829350127",
            "telephone_number": "307-875-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W FLAMING GORGE WAY STE B",
            "city": "GREEN RIVER",
            "state": "WY",
            "postal_code": "829354213",
            "telephone_number": "307-875-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "DEVIN",
        "middle_name": "K.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Physical Therapy, PC
• Michael Ross Svejcar, MPT
• Sweetwater County Child Developmental Center
• Sweetwater Radiology, PC
• Tanner Family Dentistry, Devin K. Tanner DDS, LLC
• Ann H Thedieck, MD
• Estevia Thibeault
• Marlena Thompson
• Sara R Thompson, P T
• Stacy Renee Thompson, APRN

• General Practice Dentistry in Green River, WY
• Providers in Green River, WY by specialty
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.