Individual provider Active NPI

Claire Elizabeth Tyler, D.D.S.

  • General Practice Dentistry
  • Napa, CA
National Provider Identifier
1851405856
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51644 Issued in CA
Practice address
3200A Villa LN
Napa, CA 94558-3017
Phone
(707) 255-5700
Fax
(707) 253-2158
NPI assigned
Aug 18, 2006
Sex
Female
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
General Practice Dentistry 1223G0001X 51644 CA Primary

Addresses

Primary practice location

3200A Villa LN
Napa, CA 94558-3017

Mailing address

3200A Villa LN
Napa, CA 94558-3017
Phone (707) 255-5700

Other names 1

  • Claire Elizabeth Roberts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150722003602 CA Order and Referring Only - DentistPractitioner - Dentist 4688987506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851405856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200A VILLA LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583017",
            "telephone_number": "707-255-5700",
            "fax_number": "707-253-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200A VILLA LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583017",
            "telephone_number": "707-255-5700",
            "fax_number": "707-253-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "CLAIRE",
        "middle_name": "ELIZABETH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "ROBERTS",
            "middle_name": "ELIZABETH",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.