Tyler Hanis

Primary specialty

DentistTaxonomy code 122300000X

License

13989712-9923 Issued in UT

Practice address

1058 Fair St Ste a
Prescott, AZ 86305-1803

Phone

(928) 776-0606

NPI assigned

Jun 4, 2024

Last updated

Sep 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tyler Hanis DDS PLLC

  • Dental Clinic/Center
  • Prescott, AZ
  • NPI 1992689855
  NPD Authorized official
• Canyon Vista Dental

  • General Practice Dentistry
  • Sierra Vista, AZ
  • NPI 1518515212
  NPD
• Michele a. Bibeau, D.D.S.

  • General Practice Dentistry
  • Prescott, AZ
  • NPI 1790159853
  NPD (past)
• A Perfect Smile

  • Dental Clinic/Center
  • Price, UT
  • NPI 1114314747
  NPD (past)

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1710728621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 WILLOW BUTTE CIR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 FAIR ST STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051803",
            "telephone_number": "928-776-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIS",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "13989712-9923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hancock Chiropractic Inc
• David William Hancock, D.C.
• Hands on Healing PLC (Prescott Primary Care)
• Hands on Healthcare
• Hanger Prosthetics & Orthotics West Inc
• Theresa Jane Hannibal, R.N.
• Anne Bernadette Hansen, C.N.A.
• Kelly Rae Hanson, PMHNP
• Harald Gutgsell MD PLC
• Amber Raye Hardin

• Dentist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.