Tyler Fielding McCubbins, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

11279 Issued in TN

Practice address

124 Goodview Way Ste B
Gallatin, TN 37066-4927

Phone

(615) 575-3344

Fax

(615) 575-3344

NPI assigned

Jun 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1447743653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVENUE ROOM 202",
            "address_2": "MAIN HOSPITAL MSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 GOODVIEW WAY STE B",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664927",
            "telephone_number": "615-575-3344",
            "fax_number": "615-575-3344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Avenue Room 202",
            "address_2": "Main Hospital MSC333",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "29425",
            "country_code": "US",
            "telephone_number": "843-792-3916",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1612 Gunbarrel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214135",
            "country_code": "US",
            "telephone_number": "423-602-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUBBINS",
        "first_name": "TYLER",
        "middle_name": "FIELDING",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10114",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "11279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Michele McCauley, MD
• Tammie McClard, RBT
• Lois Parrott McClure, DPH
• Sarah Elizabeth McCormack
• Jamila McCoy, BA, LMT
• Christie McCullough
• Robert E McDaniel, M.D.
• Brian K McDonald, P.T.
• Scott McDougal, LPC-MHSP
• Michael Kenneth McDuffee, DPH

• Pediatric Dentistry in Gallatin, TN
• Providers in Gallatin, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.