Christopher L Tye, MD DDS

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

15676 Issued in TX

Practice address

6904 Colleyville Blvd
Colleyville, TX 76034-6288

Phone

(817) 552-3223

Fax

(817) 552-3224

NPI assigned

Jun 22, 2012

Last updated

Jun 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christopher L Tye MD DDS PA

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Colleyville, TX
  • NPI 1679504518
  NPD (past) Authorized official
• Surgical Arts Surgery Center

  • Oral and Maxillofacial Surgery Clinic/Center
  • Colleyville, TX
  • NPI 1811000755
  NPD (past) Authorized official

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340323200000",
    "number": "1427311505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6904 COLLEYVILLE BLVD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346288",
            "telephone_number": "817-552-3223",
            "fax_number": "817-552-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6904 COLLEYVILLE BLVD",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346288",
            "telephone_number": "817-552-3223",
            "fax_number": "817-552-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYE",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "15676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110918303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trinity Aesthetics & Laser
• Kathryn Ashleigh Tucker, FNP-C
• Leslie Jean Tuggey, DDS
• TX Southern Dental PPO PC (Gateway Dental)
• TX Southern Dental PPO PC (Colleyville Family Dental)
• Pei-Yih Bryan Tzeng, MA, LPC
• Mohammad N Uddin, MD
• United Supermarkets LLC (Market Street Pharmacy #1860)
• United Supermarkets, L.L.C.
• Babita Upreti

• Oral & Maxillofacial Surgery (D.M.D.) in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.