Individual provider Active NPI

Tyler Hori, DMD

  • General Practice Dentistry
  • Tucson, AZ
National Provider Identifier
1396632840
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D012503 Issued in AZ
Practice address
7111 E Tanque Verde Rd Ste 107
Tucson, AZ 85715-3484
Phone
(520) 318-4455
NPI assigned
Jun 18, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D012503 AZ Primary

Addresses

Primary practice location

7111 E Tanque Verde Rd Ste 107
Tucson, AZ 85715-3484

Mailing address

7990 E Snyder Rd Apt 17104
Tucson, AZ 85750-9036
Phone (425) 681-3774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903000163 AZ Order and Referring Only - DentistPractitioner - Dentist 4486155124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D012503AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sabino Smiles and Orthodontics, LLP General Practice PastSince Jun 23, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1750204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1396632840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7990 E SNYDER RD APT 17104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857509036",
            "telephone_number": "425-681-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E TANQUE VERDE RD STE 107",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153484",
            "telephone_number": "520-318-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORI",
        "first_name": "TYLER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-18",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.