Individual provider Active NPI

Tyler Randall Caruso, D.M.D

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1538424189
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10118 Issued in NC
Practice address
1 Vanderbilt Park Dr Ste 250
Asheville, NC 28803-6624
Phone
(828) 277-5230
NPI assigned
Jul 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10118 NC Primary

Addresses

Primary practice location

1 Vanderbilt Park Dr Ste 250
Asheville, NC 28803-6624

Mailing address

1 Vanderbilt Park Dr Ste 250
Asheville, NC 28803-6624
Phone (828) 277-5230

Other practice location 1

590 Foothill Blvd
Salt Lake City, UT 84113-1106
Phone (801) 584-1206

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
10118NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael G Justice DDS PA PastSince Aug 6, 2019 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": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1538424189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VANDERBILT PARK DR STE 250",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288036624",
            "telephone_number": "828-277-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VANDERBILT PARK DR STE 250",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288036624",
            "telephone_number": "828-277-5230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841131106",
            "country_code": "US",
            "telephone_number": "801-584-1206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "TYLER",
        "middle_name": "RANDALL",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.