Brian Gibbs Tyler, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13209 Issued in MI

Practice address

435 Pine St
Rochester, MI 48307-1933

Phone

(248) 652-9116

Fax

(248) 652-3136

NPI assigned

Jan 17, 2007

Sex

Male

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 MI

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

State licenses

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.

• University Dental Assoc., PC

  • General Practice Dentistry
  • Rochester, MI
  • NPI 1689782849
  NPD (past) Authorized official
• Walby Dental PLLC

  • General Practice Dentistry
  • Rochester, MI
  • NPI 1366172249
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821140013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 PINE NEEDLE TRL",
            "city": "OAKLAND",
            "state": "MI",
            "postal_code": "483061034",
            "telephone_number": "248-652-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 PINE ST",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071933",
            "telephone_number": "248-652-9116",
            "fax_number": "248-652-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "BRIAN",
        "middle_name": "GIBBS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "13209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trailside Harvest Health, LLC
• Michael T Tucciarone, M.D.
• Shardea Turney
• Emmylou E Tuttle, CRNA
• Twinsite Optical LLC
• Kyoung Hong Uh
• Violeta Uldedaj
• University Dental Assoc., PC
• University Pain Clinic - Rochester PLLC
• Upright Health and Wellness, Inc.

• Dentist in Rochester, MI
• Providers in Rochester, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.