TYLER HOLT (NPI# 1417328170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417328170 |
| Entity Type | Individual |
| Full Name | TYLER HOLT |
| Credential | D.D.S. |
| Practice Address |
157 Stonebridge Blvd Apt 2223 Edmond OK 73013-4773 |
| Practice Telephone | 4052714148 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
6591 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942628334 | Tyler Holt | Behavioral Analyst | 2324 Pronghorn Ln, College Station, TX 77845-4301 | 2014-04-02 |
| 1720563828 | Tyler Holt | Case Manager/Care Coordinator | 522 Mill Rd, Clarksville, AR 72830-8511 | 2018-09-25 |
| 1336521079 | Tyler Holt | Physician Assistant | 827 Lamar Alexander Pkwy, Maryville, TN 37804 | 2015-06-18 |
| 1700015591 | Tyler W Holt | Physician Assistant | 2300 E Parham Rd, Richmond, VA 23228-3118 | 2009-07-14 |
| Street Address |
157 STONEBRIDGE BLVD APT 2223 |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275781056 | Ruchi Nanda | Dentist | 17200 N May Ave, Suite 300, Edmond, OK 73012-9031 | 2008-09-04 |
| 1902017957 | Ruchi Nanda Dds, Ms, PC | Dentist | 17200 N. May Ave. Ste 300, Edmond, OK 73003 | 2007-05-24 |
| 1447267133 | James Michael Steffen | Dentist | 1601 S Boulevard St, Edmond, OK 73013-5143 | 2006-08-02 |
| 1548228174 | James Peter Kierl | Dentist | 171 Se 33rd St, Edmond, OK 73013-4602 | 2006-05-03 |
| 1891797692 | Shannon M. Lewis | Dentist | 2900 N Kelly Ave, Edmond, OK 73003-3233 | 2005-08-11 |
| 1588838403 | Lewis Orthodontics | Dentist | 2900 N Kelly Ave, Edmond, OK 73003-3233 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013813 | Lake Country Orthodontics | Dentist | 1119 Walnut Dr Ste 4, Ardmore, OK 73401-2360 | 2020-08-13 |
| 1285284919 | Marlo A. Miller Dds, Ms | Dentist | 816 S Mustang Rd, Yukon, OK 73099-6767 | 2019-09-15 |
| 1215480371 | Gabriel Luttrell | Dentist | 421 Nw 10th St, Suite 201-e, Oklahoma City, OK 73103-3909 | 2016-07-25 |
| 1235525734 | Christopher Trockel Orthodontics PC | Dentist | 12345 S Memorial Dr Ste 113, Bixby, OK 74008-2571 | 2015-04-10 |
| 1275921769 | Orthodontic Specialists of Shawnee | Dentist | 18 E Dunloup Rd, Shawnee, OK 74804-3203 | 2015-01-06 |
| 1629474127 | Smile Galaxy Orthodontics | Dentist | 10001 S Pennsylvania Ave Bldg P, Suite #130, Oklahoma City, OK 73159-6923 | 2014-11-10 |
| 1831505999 | Gabriela Restuccia | Dentist | 1201 N Stonewall Ave Rm 449, Oklahoma City, OK 73117-1214 | 2014-07-09 |
| 1962818351 | Dental Depot Orthodontics Sw Okc, Pllc | Dentist | 6217 S Western Ave Ste A, Oklahoma City, OK 73139-1605 | 2014-07-07 |
| 1730502519 | Dental Depot Orthodontics North Okc Pllc | Dentist | 14440 N Penn Ave, Oklahoma City, OK 73134-6003 | 2014-01-29 |
| 1295168284 | Craig & Streight Orthodontics | Dentist | 706 24th Ave Nw, Norman, OK 73069-6232 | 2013-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.