Brandon Tyler DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BRANDON TYLER DDS PLLC

Practice address

26504 NE Valley St
Duvall, WA 98019

Phone

(360) 710-5015

NPI assigned

Jul 12, 2016

Organization subpart

No

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

Authorized official

Name

Brandon Tyler

Title

Owner/DDS

Phone

(360) 710-5015

Specialties & licenses 2

Addresses

Other names 1

• Duvall Dental Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel Castillo, DMD

  • General Practice Dentistry
  • Duvall, WA
  • NPI 1083705800

  General Practice

  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1376995456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26504 NE VALLEY ST",
            "address_2": "PO BOX 1180",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "98019",
            "telephone_number": "360-710-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26504 NE VALLEY ST",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "98019",
            "telephone_number": "360-710-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON TYLER DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "360-710-5015"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duvall Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila Mae Blackman, L.AC.
• Jessica Blake, RDN
• Jackie Schaedler Boak, RN
• Lisa B Boyd, L.M.
• Karin E. Brackebusch, LMHC
• Andrew Jerome Brown, PHARMD
• John Stuart Brown, LMP
• Susan Cordon Bull, LMP
• Amie Burke, RDH, OMT
• Rochelle Burns, MA

• All providers in Duvall, WA
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.