Active NPI
Ankur Kumar Tyagi, DMD
- Dentist
- Richland, WA
National Provider Identifier
1407681406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61590368
- Practice address
- 451 Westcliffe Blvd Apt C219
Richland, WA 99352-9323 - Phone
- (205) 734-5758
- NPI assigned
- Sep 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE61590368 | WA | Primary |
Addresses
Primary practice location
451 Westcliffe Blvd Apt C219
Richland, WA 99352-9323
Mailing address
451 Westcliffe Blvd Apt C219
Richland, WA 99352-9323
Phone (205) 734-5758
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 |
|---|---|---|---|
| DE61590368 | WA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1407681406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "451 WESTCLIFFE BLVD APT C219",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529323",
"telephone_number": "205-734-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 WESTCLIFFE BLVD APT C219",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529323",
"telephone_number": "205-734-5758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYAGI",
"first_name": "ANKUR",
"middle_name": "KUMAR",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-09",
"last_updated": "2024-09-09",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61590368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.