TYLER TUBBS (NPI# 1700235546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700235546 |
| Entity Type | Individual |
| Full Name | TYLER TUBBS |
| Practice Address |
1060 Gaffney Rd 1055 Fort Wainwright AK 99703-5002 |
| Practice Telephone | 9073617476 |
| Mailing Telephone | 9073617476 |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 126800000X | Dental Assistant | Dental Providers |
| Street Address |
1060 GAFFNEY RD 1055 |
| City | FORT WAINWRIGHT |
| State | AK |
| Zip Code | 99703-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033191192 | Elizabeth Ann Mittelstaedt | Registered Nurse | 1060 Gaffney Rd, Commander, Usa-meddac-ak, Attn: Mcuc-mmd-qm, Fort Wainwright, AK 99703-5001 | 2005-11-15 |
| 1952858615 | Patrick Degen Bushman | Physician Assistant | 1060 Gaffney Rd, #7440, Fort Wainwright, AK 99703-5002 | 2016-09-09 |
| 1043764939 | Laurence Preston Keim | Physician Assistant | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-08-08 |
| 1275985152 | Monica Wyatt | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2016-07-05 |
| 1285037796 | Tina Syfert | Nurse Practitioner | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2014-09-29 |
| 1841617586 | Keng Yu Chen | Dentist | 1060 Gaffney Rd, #7500, Fort Wainwright, AK 99703-5001 | 2014-03-19 |
| 1831539378 | Laina Gay Cafego | Family Medicine | 1060 Gaffney Rd, Bassett Army Community Hospital, Fort Wainwright, AK 99703 | 2013-06-28 |
| 1467890798 | Jennifer Myaeng | Pediatrics | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2013-06-09 |
| 1598100745 | Andrea Christina Knievel | General Practice | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2013-05-01 |
| 1881037059 | Jack Galagan | Internal Medicine | 1060 Gaffney Rd, Fort Wainwright, AK 99703-5002 | 2013-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144866435 | Rebecca P Conner | Registered Nurse | Bach, 1060 Gafney Rd, Ft Wainwright, AK 99703 | 2019-11-21 |
| 1881242030 | Stephanie Morse | Counselor | Bldg 3406 Alder Ave, Ft. Wainwright, AK 99703 | 2019-08-30 |
| 1801376702 | Matthew Gerard Somma | Physician Assistant | 1-25 Attack Reconnaissance Bn, Fort Wainwright, AK 99703 | 2018-08-20 |
| 1003268657 | Brandy Tristan | Dental Hygienist | Bldg 3406, Troop Dental Clinic, Ft. Wainwright, AK 99703 | 2016-07-07 |
| 1174998918 | Jeffrey Grace | Physician Assistant | Bassett Army Medical Center (kamish Clinic), 1060 Gaffney Rd, Ft Wainwright, AK 99703 | 2015-12-04 |
| 1073999215 | Melanie Anne Whalen | Dentist | 4055 Tamarak Dr, Ft Wainwright, AK 99703 | 2015-08-10 |
| 1790183176 | Sally Jane Rall | Counselor | 3406 Adler Ave, Fairbanks, AK 99703 | 2014-12-16 |
| 1083029193 | Francesann Hill | General Practice | 3214 East Santiago Avenue, Apo, AP 99703 | 2014-06-26 |
| 1669883146 | Amber Benton | Psychiatry & Neurology | 4005-4007 602nd St, Fort Wainwright, AK 99703 | 2014-05-18 |
| 1952720898 | Allison Hubert | Occupational Therapist | 3410 Rhineland Ave, Rm 108, Fort Wainwright, AK 99703 | 2014-04-08 |
| Find all providers in zip 99703 | ||||
| Taxonomy Code | 126800000X |
| Grouping | Dental Providers |
| Classification | Dental Assistant |
| An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548809379 | Tara Marie Dillow | Dental Assistant | 354th Mdos/sgod, 2630 Central Ave Ste 1m07, Eielson Afb, AK 99702-2397 | 2019-12-26 |
| 1912359498 | Cynthia Inderrieden | Dental Assistant | Bldg 3406 Alder, Usa Dentac-ak, Attn:kamish Dental Clinic, Ft Wainwright, AK 99703-7440 | 2016-07-07 |
| 1306297056 | Christian Rodriguez | Dental Assistant | 600 Richardson Dr Bldg 634, Jber, AK 99505-8310 | 2016-06-23 |
| 1336598291 | Nikia Diggins | Dental Assistant | 600 Richardson Dr # 634, Jber, AK 99505-8310 | 2016-06-10 |
| 1649549015 | Sharon Lee Lock | Dental Assistant | 59 Punguk Street, Golovin, AK 99762 | 2011-12-14 |
| 1053695247 | Searhc | Dental Assistant | 7300 Klawock/hollis Hwy, Klawock, AK 99925-0069 | 2011-10-06 |
| 1568623106 | South Anchorage Dental Clinic LLC | Dental Assistant | 9170 Jewel Lake Road, Suite 201, Anchorage, AK 99502 | 2008-06-17 |
| 1831268218 | Amy G. Ogrinc | Dental Assistant | Building N-46 Cape Sarichef, Kodiak, AK 99619-5002 | 2006-11-07 |
| 1285610725 | Leigh C Lykins | Dental Assistant | 709 W 9th St, Ste 627, Juneau, AK 99801-1807 | 2005-12-16 |
| 1346840329 | Stephanie Danielle Rowe | Dental Assistant | 2630 Central Ave, Eielson Afb, AK 99702-2301 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAINWRIGHT |
| Zip Code | 99703 |
Please comment or provide details below to improve the information on TYLER TUBBS.
| 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.