Tyler M. Davis DDS PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TYLER M. DAVIS DDS PA

Practice address

814 S Main St
Wake Forest, NC 27587-2808

Phone

(919) 556-3780

NPI assigned

Apr 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Matheson Davis, DDS

Title

Dentist

Phone

(919) 556-3780

Specialties & licenses 2

Addresses

Other names 3

• Davis, Tyler Other name
• Dr. Tyler Matheson Davis DDS Other name
• Tyler M. Davis Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Davis Tyler3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Tyler M. Davis DDS PA

  • Durable Medical Equipment & Medical Supplies
  • Raleigh, NC
  • NPI 1063991578
  NPD tax ID
• Tyler M. Davis DDS PA

  • General Practice Dentistry
  • Cary, NC
  • NPI 1326916859
  NPD tax ID

Locations

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1982191789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872808",
            "telephone_number": "919-556-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872808",
            "telephone_number": "919-556-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER M. DAVIS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "MATHESON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-556-3780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "8811",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis, Tyler",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Davis, Tyler",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dr. Tyler Matheson Davis DDS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Tyler M. Davis",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew Charles Trojanowski, D.D.S.
• Todd Tronzo, LMFTA
• True Outreach
• Elizabeth Truitt
• Jennifer L Tun, PT
• Shelby Leanna Tyndall, OTR/L
• Ezekiel Ugwu
• Amanda Umberger, MA, CCC/SLP
• Universal Mental Health Services, Inc.
• Devon E Unruh, MSW, LCSW

• Durable Medical Equipment & Medical Supplies in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.