Individual provider Active NPI

Richard J Tannyhill, III, M.D.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Centennial, CO
National Provider Identifier
1811003759
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
209023 Issued in MA
Practice address
14000 E Arapahoe Rd
Suite 320
Centennial, CO 80112-4043
Phone
(303) 493-1933
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

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
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 209023 MA Primary

Addresses

Primary practice location

14000 E Arapahoe Rd
Suite 320
Centennial, CO 80112-4043

Mailing address

8757 Ridgepoint Dr
Castle Rock, CO 80108-3426
Phone (303) 493-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180228000908 MA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 3173412913 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Univ of Calif, Los Angeles School of Dentistry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Boston UniversityGroup PAC ID 8921070822, 43 clinicians

Practice addresses (Care Compare)

100 E Newton St
G407
Boston, MA 02118-3552
Phone (617) 638-4350

Hospital & facility affiliations

  • Boston Medical Center Hospital, Boston, MA, CCN 220031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts General Physicians Organization Inc Oral & Maxillofacial Surgery CurrentSince Feb 11, 2018 Accepting new patients
Trustees of Boston University CurrentSince Jan 1, 2024 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
The General Hospital Corporation CurrentSince Feb 11, 2018 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

100 East Newton St
#G407
Boston, MA 02118
Phone (617) 638-4350

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

Interoperability endpoints

  • Direct secure messaging: rtannyhill239888@direct.bmc.masshiway.net

Organizations & group practices 4

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 8

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811003759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 RIDGEPOINT DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801083426",
            "telephone_number": "303-493-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14000 E ARAPAHOE RD",
            "address_2": "SUITE 320",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124043",
            "telephone_number": "303-493-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNYHILL, III",
        "first_name": "RICHARD",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "209023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.