Individual provider Active NPI

Curtis Lee Tyerman, DMD

  • General Practice Dentistry
  • Central Point, OR
National Provider Identifier
1720135791
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D6522 Issued in OR
Practice address
348 Oak St
Central Point, OR 97502-2241
Phone
(541) 664-2210
Fax
(541) 665-0253
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D6522 OR Primary

Addresses

Primary practice location

348 Oak St
Central Point, OR 97502-2241

Mailing address

348 Oak St
Central Point, OR 97502-2241
Phone (541) 664-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150424000838 OR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8921327941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D6522ORMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Calvo DDS LLC General Practice Past Accepting new patients
Spencer Tippets, DDS, LLC PastSince Jan 21, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720135791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 OAK ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022241",
            "telephone_number": "541-664-2210",
            "fax_number": "541-665-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 OAK ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022241",
            "telephone_number": "541-664-2210",
            "fax_number": "541-665-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYERMAN",
        "first_name": "CURTIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

Verify at the official NPI Registry.