Tyler Anderson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30025085 Issued in OH

Practice address

627 Office Pkwy
Westerville, OH 43082-7814

Phone

(614) 882-1135

NPI assigned

Jun 2, 2017

Last updated

Jun 2, 2017By 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

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1326576455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9073 HOLQUEST DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358424",
            "telephone_number": "740-816-5138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 OFFICE PKWY",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827814",
            "telephone_number": "614-882-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30025085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larkin Anderson
• Lydia Marie Anderson
• Nicholas Beecher Anderson, DO
• Patty M Anderson, CNP
• Timothy W Anderson, MD
• Nancy E Andreano, DO
• Andy Suh, DMD, LLC (Schrock Dental)
• Angel Care at Home LLC Dba 'Visiting Angels'
• Angela Bommarito Lisw LLC
• Angelic Home Health LLC

• General Practice Dentistry in Westerville, OH
• Providers in Westerville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; 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.