Organization Active NPI

Tyler L Smith Family Dentistry

  • Dentist
  • Omaha, NE
National Provider Identifier
1336376409
Registry record updated Jun 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6822 Issued in NE
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

Updated by the provider on Jun 16, 2009

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.