Individual provider Active NPI

Donald A Tyndall, DDS

  • Oral and Maxillofacial Radiology Dentistry
  • Chapel Hill, NC
National Provider Identifier
1790781920
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X
License
4820 Issued in NC
Practice address
Unc Dental Faculty Practice
117 Brauer Hall, CB #7450
Chapel Hill, NC 27599-7450
Phone
(919) 843-4655
Fax
(919) 966-0705
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Radiology Dentistry 1223X0008X 4820 NC Primary

Addresses

Primary practice location

Unc Dental Faculty Practice
117 Brauer Hall, CB #7450
Chapel Hill, NC 27599-7450

Mailing address

135 Old Lystra Rd
Chapel Hill, NC 27517-6330
Phone (919) 967-5476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000379 NC Practitioner - Oral SurgeryPractitioner - Diagnostic RadiologyPractitioner - Other (Physician) 2567629140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4820NCMDOral and Maxillofacial Radiology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill CurrentSince Jan 1, 1991 Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients
Unc Oral & Maxillofacial Pathology Laboratory Past Accepting new patients

Locations

140 Dental Cir
Ste 115
Chapel Hill, NC 27599
Phone (919) 537-3404

7450 University of NC
Chapel Hill, NC 27599

Interoperability endpoints

  • Direct secure messaging: dtyndall585176@direct.unc.nchie.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790781920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 OLD LYSTRA RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275176330",
            "telephone_number": "919-967-5476",
            "fax_number": "919-966-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC DENTAL FACULTY PRACTICE",
            "address_2": "117 BRAUER HALL, CB #7450",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997450",
            "telephone_number": "919-843-4655",
            "fax_number": "919-966-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNDALL",
        "first_name": "DONALD",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "NC",
            "license": "4820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.