Active NPI
Tyler N Weenig, DMD
- General Practice Dentistry
- Dodge City, KS
National Provider Identifier
1508668484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 62280
- Practice address
- 1700 Avenue F
Dodge City, KS 67801-4541 - Phone
- (620) 227-9797
- NPI assigned
- Mar 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 62280 | KS | Primary |
Addresses
Primary practice location
1700 Avenue F
Dodge City, KS 67801-4541
Mailing address
1700 Avenue F
Dodge City, KS 67801-4541
Phone (620) 227-9797
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62280 | KS | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1508668484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 AVENUE F",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678014541",
"telephone_number": "620-227-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 AVENUE F",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678014541",
"telephone_number": "620-227-9797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEENIG",
"first_name": "TYLER",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-24",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KS",
"license": "62280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dodge City, KS
- Wade Cody Walters, DDS
- Emalea Raeannah Nicole Warden
- Kathleen Joan Warner-Long, MED, LCPC
- Robert E Warrick, D.O.
- Stacy Waters, COTA/L
- Western Plains Physician Practices LLC (Western Plains Eye Associates)
- Western Plains Physician Practices LLC (Southwest Kansas Orthopedics)
- Western Plains Physician Practices LLC (Dodge City Surgical Services)
- Western Plains Physician Practices, LLC
- Western Plains Physician Practices,LLC (Western Plains C & S Medical Associates)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.