Active NPI
Richard L Tyner, RDH
- Dental Hygienist
- Lacey, WA
National Provider Identifier
1659425494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH00004960
- Practice address
- 669 Woodland Square Loop SE
Lacey, WA 98503-1038 - Phone
- (360) 359-4860
- Fax
- (360) 359-4861
- NPI assigned
- Jan 22, 2007
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH00004960 | WA | Primary |
Addresses
Primary practice location
669 Woodland Square Loop SE
Lacey, WA 98503-1038
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (206) 764-0112
Other practice location 1
409 Custer Way SE
Suite C
Tumwater, WA 98501-3350
Phone (360) 570-8016
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 |
|---|---|---|---|
| DH00004960 | WA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1659425494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "206-764-0112",
"fax_number": "206-764-0489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 WOODLAND SQUARE LOOP SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985031038",
"telephone_number": "360-359-4860",
"fax_number": "360-359-4861"
}
],
"practiceLocations": [
{
"address_1": "409 Custer Way SE",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Tumwater",
"state": "WA",
"postal_code": "985013350",
"country_code": "US",
"telephone_number": "360-570-8016",
"fax_number": "360-570-8275",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYNER",
"first_name": "RICHARD",
"middle_name": "L",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "WA",
"license": "DH00004960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.