Active NPI
Tyler L Smith Family Dentistry
- Dentist
- Omaha, NE
National Provider Identifier
1336376409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6822
- Legal business name
- TYLER L SMITH FAMILY DENTISTRY
- Practice address
- 17940 Welch PLZ
Suite 106
Omaha, NE 68135-3594 - Phone
- (402) 932-9349
- Fax
- (402) 505-8503
- NPI assigned
- Jun 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tyler L Smith, D.D.S.
- Title
- President
- Phone
- (402) 932-9349
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6822 | NE | Primary |
Addresses
Primary practice location
17940 Welch PLZ
Suite 106
Omaha, NE 68135-3594
Mailing address
17940 Welch PLZ
Suite 106
Omaha, NE 68135-3594
Phone (402) 932-9349
National Provider Directory
National Provider DirectoryLocations
17940 Welch Plz
Ste 106
Omaha, NE 68135
Phone (402) 830-7347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245110400000",
"number": "1336376409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17940 WELCH PLZ",
"address_2": "SUITE 106",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353594",
"telephone_number": "402-932-9349",
"fax_number": "402-505-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17940 WELCH PLZ",
"address_2": "SUITE 106",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353594",
"telephone_number": "402-932-9349",
"fax_number": "402-505-8503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TYLER L SMITH FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-16",
"last_updated": "2009-06-16",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "TYLER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "402-932-9349",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NE",
"license": "6822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.