Organization Active NPI

Tyra Loriz DMD

  • Dentist
  • Pensacola, FL
National Provider Identifier
1457614059
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TYRA LORIZ DMD
Practice address
3298 Summit Blvd Ste 49
Pensacola, FL 32503-4350
Phone
(850) 433-3008
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Bianca Mills
Title
Billing
Phone
(850) 433-3008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3298 Summit Blvd Ste 49
Pensacola, FL 32503-4350

Mailing address

3298 Summit Blvd Ste 49
Pensacola, FL 32503-4350

Other identifiers 1

IdentifierTypeStateIssuer
073348200MedicaidFL

National Provider Directory

National Provider Directory

Locations

3298 Summit Blvd
Ste 49
Pensacola, FL 32503
Phone (850) 433-3008

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1457614059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD STE 49",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD STE 49",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034350",
            "telephone_number": "850-433-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYRA LORIZ DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "850-433-3008"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073348200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.