Tyler Hanis DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TYLER HANIS DDS PLLC

Practice address

1058 Fair St
Prescott, AZ 86305-1803

Phone

(281) 797-6312

NPI assigned

Aug 4, 2025

Organization subpart

No

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

Authorized official

Name

Tyler Hanis, DDSNPI 1710728621

Title

Owner

Phone

(281) 797-6312

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tyler Hanis

  • Dentist
  • Prescott, AZ
  • NPI 1710728621
  NPD Authorized official

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1992689855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 WILLOW BUTTE CIR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863018540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 FAIR ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051803",
            "telephone_number": "281-797-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER HANIS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "HANIS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-797-6312",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erika Benay Tyler, AGACNP-BC
• Joy L Tyson, CRNP AND CNS-MH
• Erwina Ungos, D.O
• United States Veterans Initiative - Prescott
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• Dental Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Dental Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.