Tyler Robers

Primary specialty

DentistTaxonomy code 122300000X

License

1002080-15 Issued in WI

Practice address

450 N Koeller St
Oshkosh, WI 54902-4111

Phone

(920) 235-5503

NPI assigned

May 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Oakpark Dental

  • General Practice Dentistry
  • Oshkosh, WI
  • NPI 1386715662
  NPD (past)

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1649836610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W COLLEGE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N KOELLER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024111",
            "telephone_number": "920-235-5503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 W College Ave",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549143920",
            "country_code": "US",
            "telephone_number": "920-944-1029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "834 W Johnson St",
            "address_purpose": "LOCATION",
            "city": "Fond Du Lac",
            "state": "WI",
            "postal_code": "549352018",
            "country_code": "US",
            "telephone_number": "920-278-7356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERS",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-15",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1002080-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert James Rigoni Jr., RPH
• Kirtida N Ringwala, MD
• Melissa Ringwell, PT, DPT, ATC
• Connie Riska
• Julie K Rivers, PA-C
• Robert F. Mann, MD, SC
• Robert Runge Dba Excel Physical Therapy
• Erica Roberts
• Natalie A Roberts, DO
• Inshirah V Robinson, CRNA

• Dentist in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.