Kevin Richard Dorsey-Tyler, M.D., PH.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

C50630 Issued in CA

Practice address

2 Governors LN
Suite a
Chico, CA 95926-1988

Phone

(530) 891-4523

Fax

(530) 891-5934

NPI assigned

Sep 21, 2006

Last updated

Sep 10, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: kdorseytyler7939@enloedirect.org

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315612800000",
    "number": "1366541849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GOVERNORS LN",
            "address_2": "SUITE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261988",
            "telephone_number": "530-891-4523",
            "fax_number": "530-891-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GOVERNORS LN",
            "address_2": "SUITE A",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261988",
            "telephone_number": "530-891-4523",
            "fax_number": "530-891-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY-TYLER",
        "first_name": "KEVIN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C50630",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "C50630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C506300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Donovan
• James M Dooney
• Derek Sean Doppelhauer
• Kunchok Dorjee, M.D.
• Clara Jennifer Fawn Dorman
• Navjit Dosanjh
• Anton Robert Dotson, MD
• Kelly Marie Doty, MA
• Douglas Garrison, DO
• Douglas R. Myers, O.D., Inc.

• Colon & Rectal Surgery Physician in Chico, CA
• Providers in Chico, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2011; 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.