Active NPI
Daniel G Tinker, MD
- Dermatology Physician
- St Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2023049006
- Practice address
- 12200 Weber Hill Rd
St Louis, MO 63127 - NPI assigned
- Jun 1, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2023049006 | OR | Primary |
Addresses
Primary practice location
12200 Weber Hill Rd
St Louis, MO 63127
Mailing address
12200 Weber Hill Rd Ste 200
Saint Louis, MO 63127-1569
Other practice location 1
540 E Cherry St
Troy, MO 63379-1410
Phone (314) 834-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Oklahoma College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12200 Weber Hill Rd
Suite 200
Saint Louis, MO 63127-1569
Phone (314) 842-5660
123 C Ave
Lake Oswego, OR 97034-2353
Phone (541) 316-6575
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 13 |
| Removal of skin lesions | 461 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 87 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023049006 | OR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Choice Dermatology | Dermatology | Current | Accepting new patients |
| United Skin Specialists Missouri LTD, PC | Current | Accepting new patients | |
| Dermatological Care, Inc. | Dermatology | Current | Accepting new patients |
| United Skin Specialists Missouri LTD, PC | Dermatology | Current | Accepting new patients |
| Troy Dermatology Surgery Center, LLC | Dermatology | Current | Accepting new patients |
Locations
1001 Chesterfield Pkwy E
Ste 201
Chesterfield, MO 63017
Phone (314) 434-8477
1001 Chesterfield Pkwy E
Ste 101
Chesterfield, MO 63017
Phone (314) 878-3839
12200 Weber Hill Rd
Ste 200
Saint Louis, MO 63127
Phone (314) 842-5660
520 E Cherry St
Troy, MO 63379
Phone (314) 834-1400
540 E Cherry St
Troy, MO 63379
Phone (314) 834-1400
123 C Ave
Lake Oswego, OR 97034
Phone (702) 550-9784
966 12th St SE
Ste 130
Salem, OR 97302
Phone (503) 540-7477
Interoperability endpoints
- dtinker923618@oc.providencedirect.org
Organizations & group practices 5
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.
-
- Dermatology Physician
- Saint Louis, MO
- NPI 1720005770
-
- Dermatology Physician
- The Dalles, OR
- NPI 1891327185
-
- MOHS-Micrographic Surgery Physician
- Chesterfield, MO
- NPI 1225482839
-
- MOHS-Micrographic Surgery Physician
- Troy, MO
- NPI 1528898483
Dermatology
-
- Dermatology Physician
- Chesterfield, MO
- NPI 1104368489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1417449869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12200 WEBER HILL RD STE 200",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 WEBER HILL RD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63127"
}
],
"practiceLocations": [
{
"address_1": "540 E Cherry St",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MO",
"postal_code": "633791410",
"country_code": "US",
"telephone_number": "314-834-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TINKER",
"first_name": "DANIEL",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-01",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "2023049006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.