Tyler Brent Whiting, DMD, BS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10985 Issued in OR

Practice address

4122 Quest Dr
Eugene, OR 97402

Phone

(541) 844-1667

Fax

(541) 505-8463

NPI assigned

Mar 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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.

• Tyler Whiting Pediatric Dentistry PC

  • Pediatric Dentistry
  • Eugene, OR
  • NPI 1649005182
  NPD Authorized official
• Oregon Family Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Eugene, OR
  • NPI 1467900241
  NPD
• Eugene Kids' Dentist, LLC

  • Pediatric Dentistry
  • Eugene, OR
  • NPI 1366738858
  NPD (past)
• Mesa Valley Dental LLC

  • Pediatric Dentistry
  • Mesa, AZ
  • NPI 1033750724
  NPD (past)
• SV Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Mesa, AZ
  • NPI 1083086920
  NPD (past)

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1366836835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 QUEST DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974028768",
            "telephone_number": "541-844-1667",
            "fax_number": "541-505-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 QUEST DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97402",
            "telephone_number": "541-844-1667",
            "fax_number": "541-505-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "TYLER",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "DMD, BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D009666",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "10985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D09666",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D10985",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britney Lauren Whitehurst
• Harold Edmond Whiteley, M.D.
• Lynda J Whitener, M.S., M.S.
• Elizabeth Rose Whitesides
• Margaret Mae Whiting, LPN
• Whitney Whiting, LPC-A
• Martha Ann Whitman
• Chelsea Whitney, RN
• Heath S Whitney, LIC. AC.
• Heather Whitney, Q.M.H.A.

• Pediatric Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.