Individual provider Active NPI

Tyler Leigh Spearman, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1780299008
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TX13743 Issued in TX
Practice address
7777 Forest LN Ste C106
Dallas, TX 75230-6831
Phone
(972) 566-5255
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX13743 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste C106
Dallas, TX 75230-6831

Mailing address

7777 Forest LN Ste C106
Dallas, TX 75230-6831
Phone (972) 566-5255

Other practice location 1

6119A Greenville Ave Ste 155
Dallas, TX 75206-1910
Phone (214) 538-2808

Other practice location 2

1600 Coit Rd Ste 104
Plano, TX 75075-6171
Phone (972) 566-5255

Other practice location 3

6020 W Parker Rd Ste 200
Plano, TX 75093-8172
Phone (972) 566-5255

Other practice location 4

7777 Forest Lane
Dallas, TX 75230
Phone (214) 538-2808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020004546 TX Practitioner - Physician Assistant 5193145787 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Medical Specialists, PLLCGroup PAC ID 3072895788, 86 clinicians

Practice addresses (Care Compare)

11970 N Central Expy
Dallas, TX 75243-3768
Phone (972) 940-8000

7777 Forest LN
Dallas, TX 75230-2571

7777 Forest LN
Suite C300
Dallas, TX 75230-2514
Phone (972) 566-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
TX13743TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Provider Network Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tyler.spearman@hca7.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1780299008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306831",
            "telephone_number": "972-566-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE C106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306831",
            "telephone_number": "972-566-5255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6119A Greenville Ave Ste 155",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752061910",
            "country_code": "US",
            "telephone_number": "214-538-2808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Coit Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750756171",
            "country_code": "US",
            "telephone_number": "972-566-5255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6020 W Parker Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938172",
            "country_code": "US",
            "telephone_number": "972-566-5255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Forest Lane",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75230",
            "country_code": "US",
            "telephone_number": "214-538-2808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEARMAN",
        "first_name": "TYLER",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "TX13743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.