Tyler Schaffeld DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10038 Issued in OR

Legal business name

TYLER SCHAFFELD DMD PC

Practice address

120 S River St
Enterprise, OR 97828-1336

Phone

(541) 426-3783

NPI assigned

Sep 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Boone Schaffeld, DMDNPI 1669804472

Title

President

Phone

(541) 561-5672

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler Boone Schaffeld, DMD

  • General Practice Dentistry
  • Enterprise, OR
  • NPI 1669804472
  NPD (past) Authorized official
• Gary Raymond Underhill, D.M.D.

  • General Practice Dentistry
  • Enterprise, OR
  • NPI 1497747463
  NPD (past)

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1598168163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S RIVER ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281336",
            "telephone_number": "541-426-3783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S RIVER ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281336",
            "telephone_number": "541-426-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER SCHAFFELD DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "SCHAFFELD",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "BOONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-561-5672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D10038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suto Enterprises, Inc (Alpine Chiropractic Clinic)
• John S Suto, D.C.
• Celina N Taylor
• Summer Breeze Thies
• Peaches Keon Turner
• Gary Raymond Underhill, D.M.D.
• Trace David Vancleave, DMD
• Kevin Lee Vandenheuvel
• Kristell Marie Wade, CRNA
• Walla Walla Vamc

• General Practice Dentistry in Enterprise, OR
• Providers in Enterprise, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.