TYLER J WILSON (NPI# 1437568169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437568169 |
| Entity Type | Individual |
| Full Name | TYLER J WILSON |
| Credential | DMD |
| Practice Address |
4940 Hamrick Rd Central Point OR 97502-3072 |
| Mailing Address |
931 Chevy Way Medford OR 97504-4127 |
| Practice Telephone | 5416903600 |
| Practice Fax Number | 5416643735 |
| Mailing Telephone | 5416903555 |
| Mailing Fax Number | 5418422212 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2020-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10115 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578736013 | Tyler M. Wilson | Dentist | 2151 S College Dr Ste 104, Santa Maria, CA 93455-1304 | 2008-04-04 |
| 1407464373 | Tyler Wilson | Student in an Organized Health Care Education/Training Program | 155 N Fresno St, Fresno, CA 93701-2302 | 2020-07-16 |
| 1659931475 | Tyler Keith Wilson | Psychiatry & Neurology | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2019-06-14 |
| 1114474095 | Tyler Wilson | Midwife | 4 Springwood Ln, Chester Springs, PA 19425-2904 | 2016-09-08 |
| 1407208499 | Tyler Wilson | Counselor | 542 Ocean St Ste K, Santa Cruz, CA 95060-6622 | 2016-07-01 |
| 1932502408 | Tyler Noell Wilson | Occupational Therapist | 0 Avenue D, Building 364, Perry Point, MD 21902-1003 | 2014-09-29 |
| 1831458413 | Tyler G Wilson | Physical Therapist | 2380 Cedar St Ste 203, Holt, MI 48842-2211 | 2012-05-16 |
| Street Address |
4940 HAMRICK RD |
| City | CENTRAL POINT |
| State | OR |
| Zip Code | 97502-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962482042 | Jack Guillermo Sibal | Physician Assistant | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2006-01-17 |
| 1760038665 | Sara J Yalon | Registered Nurse | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2019-08-15 |
| 1548611353 | Charles Shepherd | Registered Nurse | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2016-06-23 |
| 1235592742 | Rosaura Reyes-zepeda | Dental Hygienist | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2016-04-01 |
| 1558757997 | Kristopher Azevedo | Family Medicine | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2015-04-13 |
| 1013347020 | Daniela Diaz | Dentist | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2013-11-13 |
| 1033490784 | Erin M Schorran | Nurse Practitioner | 4940 Hamrick Rd, Sn-adm, Central Point, OR 97502-3072 | 2011-09-07 |
| 1750661062 | Rachel B Schultz | Dentist | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2011-08-18 |
| 1639406333 | Elizabeth Banowetz | Family Medicine | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2009-11-17 |
| 1386650398 | Kelli Ann Lafleur | Nurse Practitioner | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013459734 | Rebuilding Together Rogue Valley | Home Health | 421 Stone Pointe Drive, Central Point, OR 97502 | 2016-11-11 |
| 1801262431 | Kathleen Marie Vandevender | Behavioral Analyst | 153 Wind Song Drive, Central Point, OR 97502 | 2015-08-18 |
| 1356735112 | Nikole Mcewen | Behavioral Analyst | 2030 Taylor Rd, Central Point, OR 97502 | 2015-03-19 |
| 1619368636 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 200 W Pine St, Central Point, OR 97502 | 2015-02-12 |
| 1124429360 | Sarah Jean North | Massage Therapist | 2463 Saint James Way, Central Point, OR 97502 | 2014-09-08 |
| 1972928034 | Jennifer Joe-anne Marks | Registered Nurse | 312 Oak St. Ste #205, Central Point, OR 97502 | 2014-02-26 |
| 1578991527 | Lawrence Gerald Whittington | Behavioral Analyst | 6340 Honey Tree Ln., Central Point, OR 97502 | 2013-10-29 |
| 1093141582 | Samuel Joseph Hicks | Behavioral Analyst | 4434 Corey Road, Central Point, OR 97502 | 2013-09-17 |
| 1598191074 | Kathie Ellen Moss | Behavioral Analyst | 5315 Teresa Way, Central Point, OR 97502 | 2013-09-17 |
| 1831525336 | Becky Kay Lunsford | Behavioral Analyst | 640 S. 2nd Street, Family Solutions, Central Point, OR 97502 | 2013-09-17 |
| Find all providers in zip 97502 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285929158 | Steven A Nelson | Dentist | 1333 Plaza Blvd, Suite A, Central Point, OR 97502-2671 | 2011-06-18 |
| 1891926184 | Luke T Barsalou | Dentist | 4940 Hamrick Road, Central Point, OR 97501 | 2009-08-04 |
| 1013347020 | Daniela Diaz | Dentist | 4940 Hamrick Rd, Central Point, OR 97502-3072 | 2013-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573237 | Ishpreet Kaur | Dentist | 1759 N Riverside Ave, Medford, OR 97501-4628 | 2020-09-17 |
| 1336754456 | Springfield Dental Partners LLC | Dentist | 498 Harlow Rd Ste 2, Springfield, OR 97477-1339 | 2020-09-15 |
| 1790390060 | Tyler Joseph Craven | Dentist | 4515 Se Harrison St, Milwaukie, OR 97222-5221 | 2020-09-13 |
| 1972117588 | Medical Teams International | Dentist | 14150 Sw Milton Ct, Portland, OR 97224-8024 | 2020-09-01 |
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1801400684 | Michael Carreon | Dentist | 1332 Sw Highland Ave, Redmond, OR 97756-2640 | 2020-08-31 |
| 1679196190 | Members Plus Dental | Dentist | 156 Catron St N, Monmouth, OR 97361-2303 | 2020-05-19 |
| 1265054175 | Members Plus Dental, LLC | Dentist | 2220 9th Ave Se Ste B, Albany, OR 97322-5000 | 2020-05-13 |
| 1619504164 | Anna Nicole Gerlach | Dentist | 1915 Ne Baker St, Mcminnville, OR 97128-2601 | 2020-03-25 |
| 1598391054 | Slater Family Dental, PC | Dentist | 18540 Sw Vincent, Aloha, OR 97078 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL POINT |
| Zip Code | 97502 |
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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.