TYLER DUNHAM


Address: 309 S. Sharon Amity Road, Suite 104, Charlotte, NC 28211-2886
Phone: 7043727660

TYLER DUNHAM (NPI# 1558797811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558797811
Entity Type Individual
Full Name TYLER DUNHAM
Credential CPO
Practice Address 309 S. Sharon Amity Road
Suite 104
Charlotte
NC 28211-2886
Mailing Address 660 W Lincoln Hwy
Exton
PA 19341-2514
Practice Telephone 7043727660
Practice Fax Number 7043727659
Mailing Telephone 6108736733
Mailing Fax Number 6108736735
Enumeration Date 2013-09-18
Last Update Date 2014-02-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 222Z00000X Orthotist Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 224P00000X Prosthetist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers TYLER DUNHAM

NPI Name Taxonomy Address Enumeration
1306480363 Tyler Dunham Behavior Technician 1801 Excise Ave Ste 116, Ontario, CA 91761-8557 2019-11-03

Office Location

Street Address 309 S. SHARON AMITY ROAD
SUITE 104
City CHARLOTTE
State NC
Zip Code 28211-2886

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184277832 I and J Wheelchair Transportation Non-emergency Medical Transport (VAN) 1512 Delane Avenue, Charlotte, NC 28211 2019-07-22
1922563923 The Charlotte-mecklenburg Hospital Authority Psychiatry & Neurology 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 2019-02-04
1649798273 Ally Home Care Charlotte LLC In Home Supportive Care 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 2017-09-04
1154866770 Vaibhav Bajaj Dentist 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 2017-01-05
1508254939 Lindsay Marie Smits Speech-Language Pathologist 427 N. Wendover Rd., Charlotte, NC 28211 2015-01-08
1457755480 Kristen Hammer Physical Therapy Assistant 4120 Providence Rd Apt D, Charlotte, NC 28211 2014-10-20
1669805610 Carla Elizabeth Scott Physical Therapist 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 2013-08-14
1760726368 Jill Hensdale Shipp Social Worker 307 Hunter Lane, Charlotte, NC 28211 2012-11-20
1346592722 Danielle Marie Benoit Occupational Therapist 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 2012-10-09
1487910832 John Joseph Marcel Jr. Orthopaedic Surgery 449 North Wendover Rd Ste A, Charlotte, NC 28211 2012-04-10
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Taxonomy Information

Taxonomy Code 224P00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Prosthetist

Taxonomy Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356990022 Porshai Juanice Jackson Prosthetist 6341 Derryfield Dr, Charlotte, NC 28213-5532 2019-09-05
1881257046 Sonja Allen Prosthetist 3509 David Cox Rd, Charlotte, NC 28269-2281 2019-04-15
1346803509 Felicia Nicole Long Prosthetist 221 E Exmore St Ste D, Charlotte, NC 28217-1808 2019-04-15
1609439868 Latarsha Cooper Prosthetist 9711 David Taylor Dr Apt 228, Charlotte, NC 28262-2376 2019-04-15
1104399070 Nattya S Pilgreen Prosthetist 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 2019-01-03
1255724423 Dana Cannon Prosthetist 2805 South Blvd, Charlotte, NC 28209-1801 2015-03-12
1912006628 Mark L Elgart Prosthetist 2001 E 7th St, Suite I, Charlotte, NC 28204-3311 2006-09-21
1306496187 Travis Barlow Prosthetist 2826 Randolph Rd Ste 201, Charlotte, NC 28211-1359 2019-09-13
1306334792 Matthew Earl Glover Prosthetist 220 Westinghouse Blvd Ste 405, Charlotte, NC 28273-4260 2018-05-01
1114310281 Xquisite Xtensions Prosthetist 2805 South Blvd, Charlotte, NC 28209-1801 2015-03-12
Find all providers in CHARLOTTE

Competitor

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City CHARLOTTE
Zip Code 28211

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Dataset Information

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.

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