Emily Weldon Tyler, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN18665 Issued in FL

Practice address

2510 US Highway 1 S
Suite B
St Augustine, FL 32086-6100

Phone

(904) 217-7012

Fax

(904) 217-7924

NPI assigned

Sep 29, 2009

Sex

Female

Sole proprietor

No

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Oceanside Endodontics OD St. Augustine

  • Endodontics
  • St. Augustine, FL
  • NPI 1548764707
  NPD (past) Authorized official

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1770817389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 US HIGHWAY 1 S",
            "address_2": "SUITE B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866100",
            "telephone_number": "904-217-7012",
            "fax_number": "904-217-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 US HIGHWAY 1 S",
            "address_2": "SUITE B",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866100",
            "telephone_number": "904-217-7012",
            "fax_number": "904-217-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "EMILY",
        "middle_name": "WELDON",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Michele Turner, LMHC, LCPC
• Numa Fletcher Turner III, M.D.
• Ali Tutar, M.D.
• Rebecca Rose Bulen Tuttle, OTR/L, PT
• Tyler Darl Albrecht D.C., P.a.
• Kelli M. Tyson, ARNP
• U Enterprises, LLC
• Cheryl Anne Ubelhor Kotyuk
• Ononike Umerah
• Under the Barbell Physical Therapy & Performance LLC

• Dentist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.

Verify at the official NPI Registry.