Tyler N. Davis DMD, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5198 Issued in AZ

Legal business name

TYLER N. DAVIS DMD, PC

Practice address

2500 S Power Rd Ste 102
Mesa, AZ 85209-6687

Phone

(480) 664-1438

Fax

(480) 664-1442

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tyler N Davis, DMDNPI 1447471024

Title

President

Phone

(480) 664-1438

Specialties & licenses 1

Addresses

Other names 1

• Power Road Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler N Davis, DMD

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1447471024
  NPD (past) Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831393834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096687",
            "telephone_number": "480-664-1438",
            "fax_number": "480-664-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD STE 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096687",
            "telephone_number": "480-664-1438",
            "fax_number": "480-664-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER N. DAVIS DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-664-1438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Power Road Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Twin Villas Senior Care LLC
• Twin Villas Senior Care LLC
• Aimee Two, MD
• Virginia Tworek, RPH
• Alex Twumampofo, MD
• Kelly Ann Tyler, MD
• Jenessa Tylor, RN
• Kirt Tyson, N,M.D
• U Medical PLLC
• U Smile Family PLLC

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.