Organization Active NPI

Tyler Davis Dental Corporation

  • Endodontics
  • San Clemente, CA
National Provider Identifier
1386513604
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
TYLER DAVIS DENTAL CORPORATION
Practice address
1001 Avenida Pico Ste N
San Clemente, CA 92673-6956
Phone
(949) 867-3636
NPI assigned
Nov 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Dr. Tyler A Davis, DMD, MSNPI 1548799661
Title
Endodontist
Phone
(702) 480-4256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1001 Avenida Pico Ste N
San Clemente, CA 92673-6956

Mailing address

1001 Avenida Pico Ste N
San Clemente, CA 92673-6956
Phone (949) 867-3636

National Provider Directory

National Provider Directory

Locations

1001 Avenida Pico
Ste N
San Clemente, CA 92673
Phone (949) 867-3636

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1386513604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO STE N",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736956",
            "telephone_number": "949-867-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO STE N",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736956",
            "telephone_number": "949-867-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER DAVIS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "702-480-4256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.