Tyler J Smith,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-3898 Issued in ID

Legal business name

TYLER J SMITH,PA

Doing business as

Warm Springs Dental

Practice address

2200 Warm Springs Ave
Ste 108
Boise, ID 83712-8429

Phone

(208) 343-2000

NPI assigned

Feb 4, 2010

Last updated

Feb 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Joshua Smith, DMDNPI 1780714915

Title

Dentist/Owner

Phone

(208) 343-2000

Specialties & licenses 1

Addresses

Other names 1

• Warm Springs Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyler J Smith, DMD

  • General Practice Dentistry
  • Boise, ID
  • NPI 1780714915
  NPD (past) Authorized official

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1427380203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WARM SPRINGS AVE",
            "address_2": "STE 108",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128429",
            "telephone_number": "208-343-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WARM SPRINGS AVE",
            "address_2": "STE 108",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837128429",
            "telephone_number": "208-343-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER J SMITH,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JOSHUA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "208-343-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-3898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warm Springs Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Twinflower Healthcare, Inc.
• Two Rivers Medical Group
• Brooke Bettis Twomey, R.N.
• Eileen Maria Twomey, PHARM.D.
• Michael James Twomey, MD
• Amanda Tyler, LPC
• Samuel Wat Tyler, PT, DPT
• Ashley Tyner, DPT
• Ryan T Tyng, D.M.D.
• Damiana L Uberuaga, LCSW

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.