Individual provider Active NPI

Tyler Hales, DDS

  • Dentist
  • Ladera Ranch, CA
National Provider Identifier
1518416619
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
100778 Issued in CA
Practice address
777 Corporate Dr Ste 100
Ladera Ranch, CA 92694-2138
Phone
(949) 429-0049
NPI assigned
Sep 29, 2016
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 100778 CA Primary

Addresses

Primary practice location

777 Corporate Dr Ste 100
Ladera Ranch, CA 92694-2138

Mailing address

777 Corporate Dr Ste 100
Ladera Ranch, CA 92694-2138
Phone (949) 429-0049

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
100778CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Parker and Hales Dental Partnership CurrentSince Apr 23, 2023 Accepting new patients
Henriod & Meserkhani Dental Partnership Past Accepting new patients
Rancho San Diego Dental Past Accepting new patients
Lincoln Parker DMD a Professional Dental Corporation Dentist PastSince Dec 6, 2022 Accepting new patients

Locations

777 Corporate Dr
Ste 100
Ladera Ranch, CA 92694
Phone (949) 429-0049

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1518416619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR STE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942138",
            "telephone_number": "949-429-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CORPORATE DR STE 100",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942138",
            "telephone_number": "949-429-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALES",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-29",
        "last_updated": "2022-11-30",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladera Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.