Active NPI
Tyler N Williams, DDS
- Dentist
- West Jordan, UT
National Provider Identifier
1760702864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7692408
- Practice address
- 2245 Williamsburg Cir
West Jordan, UT 84088-6410 - Phone
- (801) 513-0148
- NPI assigned
- Jun 11, 2010
- 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 | 7692408 | UT | Primary |
Addresses
Primary practice location
2245 Williamsburg Cir
West Jordan, UT 84088-6410
Mailing address
2245 Williamsburg Cir
West Jordan, UT 84088-6410
Phone (801) 513-3371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141113001108 | UT | Order and Referring Only - Oral Surgery | 5698997302 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7692408 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Sleep SLC LLC | Dentist | Current | Accepting new patients |
Locations
6065 S Redwood Rd
Ste 150
Taylorsville, UT 84123
Phone (801) 901-8990
6065 S Redwood Rd
Taylorsville, UT 84123
Phone (801) 503-0035
Organizations & group practices 1
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": "1276214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289606400000",
"number": "1760702864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 WILLIAMSBURG CIR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840886410",
"telephone_number": "801-513-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 WILLIAMSBURG CIR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840886410",
"telephone_number": "801-513-0148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TYLER",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-11",
"last_updated": "2010-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "7692408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.