Active NPI
Tyler James Schuurmans, D.D.S.
- Endodontics
- Edina, MN
National Provider Identifier
1366674418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D14852
- Practice address
- 4018 W 65TH St Ste 300
Edina, MN 55435-1706 - Phone
- (952) 653-4500
- Fax
- (952) 223-5561
- NPI assigned
- Aug 21, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D14852 | MN | Primary |
Addresses
Primary practice location
4018 W 65TH St Ste 300
Edina, MN 55435-1706
Mailing address
4018 W 65TH St Ste 300
Edina, MN 55435-1706
Phone (952) 653-4500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D14852 | MN | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Endo - Valley View, PLLC | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Edina, MN
- NPI 1750230306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1366674418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4018 W 65TH ST STE 300",
"city": "EDINA",
"state": "MN",
"postal_code": "554351706",
"telephone_number": "952-653-4500",
"fax_number": "952-223-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4018 W 65TH ST STE 300",
"city": "EDINA",
"state": "MN",
"postal_code": "554351706",
"telephone_number": "952-653-4500",
"fax_number": "952-223-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUURMANS",
"first_name": "TYLER",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-21",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MN",
"license": "D14852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.