Tyffani Tynneil Palmer, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

27199 Issued in TX

Practice address

7451 N Beach St Ste 140
Fort Worth, TX 76137-5160

Phone

(817) 847-7001

Fax

(817) 847-7009

NPI assigned

Jul 27, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sunny Side of the Street Pediatric Dentistry

  • Pediatric Dentistry
  • Fort Worth, TX
  • NPI 1649972035
  NPD Authorized official

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1518245331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 PAPPAS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780411705",
            "telephone_number": "956-795-8100",
            "fax_number": "956-718-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 N BEACH ST STE 140",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375160",
            "telephone_number": "817-847-7001",
            "fax_number": "817-847-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "TYFFANI",
        "middle_name": "TYNNEIL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27199",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "27199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DENTAL LICENSE",
            "identifier": "27199",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Brooke Palmer, M.D.
• Ann Marie Palmer, PTA
• David Palmer, RD, LD
• Evelyn B Palmer, RN
• Ronald Maclean Palmer, AGPCNP-BC
• Palmercare Chiropractic Fort Worth LLC
• Palo Pinto County Hospital District
• Samantha Jo Adcock Palomares, PA-C
• Morganna Lynn Palomarez, CPNP
• Catherine Palomo, CPNP

• Pediatric Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.