Active NPI
Tanner Miles Anglin
- Dentist
- Mt Vernon, TX
National Provider Identifier
1689418212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40422
- Practice address
- 908 Hwy 37 S
Mt Vernon, TX 75457-4500 - Phone
- (903) 588-3384
- NPI assigned
- Jun 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 40422 | TX | Primary |
Addresses
Primary practice location
908 Hwy 37 S
Mt Vernon, TX 75457-4500
Mailing address
2099 Vista Ridge Rd
Melissa, TX 75454-9716
Phone (972) 741-3132
Other practice location 1
422 Oak Ave
Sulphur Springs, TX 75482-4130
Phone (903) 885-8906
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 |
|---|---|---|---|
| 40422 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1689418212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2099 VISTA RIDGE RD",
"city": "MELISSA",
"state": "TX",
"postal_code": "754549716",
"telephone_number": "972-741-3132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 HWY 37 S",
"city": "MT VERNON",
"state": "TX",
"postal_code": "754574500",
"telephone_number": "903-588-3384"
}
],
"practiceLocations": [
{
"address_1": "422 Oak Ave",
"address_purpose": "LOCATION",
"city": "Sulphur Springs",
"state": "TX",
"postal_code": "754824130",
"country_code": "US",
"telephone_number": "903-885-8906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANGLIN",
"first_name": "TANNER",
"middle_name": "MILES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-19",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "40422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mt Vernon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.