Active NPI
Tyler Hales, DDS
- Dentist
- Ladera Ranch, CA
National Provider Identifier
1518416619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 100778
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 100778 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parker and Hales Dental Partnership | Current | 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 | Past | 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.
-
- Public Health Dentistry
- Ladera Ranch, CA
- NPI 1144917477
-
dba Rancho San Diego Dental Group
- Public Health Dentistry
- El Cajon, CA
- NPI 1306111976
-
dba Parker Dentistry
- Dentist
- Ladera Ranch, CA
- NPI 1740619980
-
- General Practice Dentistry
- El Cajon, CA
- NPI 1639275621
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.