Daniel F. Tylka, D.M.D.

Primary specialty

Orofacial Pain DentistryTaxonomy code 1223X2210X

License

61680 Issued in KS

Practice address

875 Union Ave
Uthsc College of Dentistry - Udfp
Memphis, TN 38163-2110

Phone

(901) 448-6930

Fax

(901) 448-1294

NPI assigned

Nov 22, 2006

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)

Enrolled

State licenses

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.

• Board of Regents of the University of Oklahoma - Ou Denitstry

  • Dentist
  • Oklahoma City, OK
  • NPI 1629110119
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1306911391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 UNION AVE C 515",
            "address_2": "UTHSC COLLEGE OF DENTISTRY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381632110",
            "telephone_number": "901-448-6930",
            "fax_number": "901-448-1294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 UNION AVE",
            "address_2": "UTHSC COLLEGE OF DENTISTRY - UDFP",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381632110",
            "telephone_number": "901-448-6930",
            "fax_number": "901-448-1294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLKA",
        "first_name": "DANIEL",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X2210X",
            "taxonomy_group": "",
            "desc": "Dentist, Orofacial Pain",
            "state": "KS",
            "license": "61680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larretta Tyler
• Madison Tyler, RDN, LDN, CLC
• Rachel Michelle Tyler
• Ridonna Faye Tyler, RPH
• Trudy Dionne Tyler
• Ryan Martin Tyner, PA
• Tyra Watts Consulting, LLC
• Yolanda Tyson, PHARM D
• Chenite Tyus, LPC
• Elizabeth Villa Tyus, RN

• Orofacial Pain Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• Orofacial Pain Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.