Individual provider Active NPI

Douglas G Tyler, LP

  • Prosthetist
  • Tacoma, WA
National Provider Identifier
1477696359
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
PS00000193 Issued in WA
Practice address
1901 S Cedar St
Suite 101
Tacoma, WA 98405-2308
Phone
(253) 572-1282
Fax
(253) 572-1175
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X PS00000193 WA Primary

Addresses

Primary practice location

1901 S Cedar St
Suite 101
Tacoma, WA 98405-2308

Mailing address

1901 S Cedar St
Suite 101
Tacoma, WA 98405-2308
Phone (253) 572-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS00000193WAMDProsthetist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1477696359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST",
            "address_2": "SUITE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052308",
            "telephone_number": "253-572-1282",
            "fax_number": "253-572-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST",
            "address_2": "SUITE 101",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052308",
            "telephone_number": "253-572-1282",
            "fax_number": "253-572-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "DOUGLAS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS00000193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.