Individual provider Active NPI

Tyler Voight Wurmlinger

  • Dentist
  • Camp Lejeune, NC
National Provider Identifier
1477841500
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
L2022581 Issued in MI
Practice address
2D Denbn/NDC, PSC 20130 315 McHugh Blvd
Commanding Officer
Camp Lejeune, NC 28542-0130
Phone
(910) 451-2208
Fax
(910) 451-8036
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X L2022581 MI Primary

Addresses

Primary practice location

2D Denbn/NDC, PSC 20130 315 McHugh Blvd
Commanding Officer
Camp Lejeune, NC 28542-0130

Mailing address

2D Denbn/NDC, PSC 20130 315 McHugh Blvd
Commanding Officer
Camp Lejeune, NC 28542-0130
Phone (910) 451-2208

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160617000100 SC Order and Referring Only - DentistPractitioner - Dentist 1557652807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L2022581MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tyler V. Wurmlinger DDS PLLC Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1477841500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD",
            "address_2": "COMMANDING OFFICER",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420130",
            "telephone_number": "910-451-2208",
            "fax_number": "910-451-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2D DENBN/NDC, PSC 20130 315 MCHUGH BLVD",
            "address_2": "COMMANDING OFFICER",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285420130",
            "telephone_number": "910-451-2208",
            "fax_number": "910-451-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WURMLINGER",
        "first_name": "TYLER",
        "middle_name": "VOIGHT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "L2022581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Lejeune, NC

Sources for this page

Verify at the official NPI Registry.