TYSON TANNER (NPI# 1124406665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124406665 |
| Entity Type | Individual |
| Full Name | TYSON TANNER |
| Credential | DMD |
| Practice Address |
615 E 14th St Des Moines IA 50316-3508 |
| Practice Telephone | 8014737718 |
| Mailing Telephone | 8014737718 |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2017-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
9377 | IA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851529598 | Tyson R Tanner | Optometrist | 1938 S Dobson Rd, Mesa, AZ 85202-5658 | 2009-07-01 |
| Street Address |
615 E 14TH ST |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-3508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780244699 | Marisa Ann Heisterkamp | Dentist | 615 E 14th St, Des Moines, IA 50316-3508 | 2019-06-13 |
| 1326422122 | Jason Scoresby | Dentist | 615 E 14th St, Des Moines, IA 50316-3508 | 2015-07-13 |
| 1982959722 | Brett Jones | Dentist | 615 E 14th St, Des Moines, IA 50316-3508 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164901203 | Anisha Cheruvillil | Dentist | 1200 University Ave Ste 100, Des Moines, IA 50314-2355 | 2018-08-09 |
| 1811474927 | Downtown Smiles | Dentist | 505 5th Ave Ste 939, Des Moines, IA 50309-2316 | 2018-07-20 |
| 1659801546 | Hayley Ann Faley | Dentist | 6150 Se 14th St Ste B, Des Moines, IA 50320-1719 | 2017-06-14 |
| 1174063010 | Waveland Family Dental | Dentist | 4232 University Ave, Des Moines, IA 50311-3422 | 2017-02-25 |
| 1720522360 | Cheng Shao Anwar Pllc | Dentist | 27041 Pacific Hwy S, Des Moines, WA 98198-9250 | 2016-12-16 |
| 1811367972 | Jason Sinhee Hong | Dentist | 4730 Sw 9th St, Des Moines, IA 50315-3973 | 2015-10-01 |
| 1649651795 | Laura Wilmes Brown | Dentist | 5921 Se 14th St Ste 1500, Des Moines, IA 50320-1760 | 2015-06-15 |
| 1114337276 | Walid Abdel Fatah, Dds, PC | Dentist | 3737 Merle Hay Rd, Des Moines, IA 50310-1239 | 2014-04-29 |
| 1962708743 | Poojitha Chandrasekhar | Dentist | 4930 Se 14th St, Des Moines, IA 50320-1604 | 2011-01-27 |
| 1407006752 | Paula Ann Stepp | Dentist | 22506 Marine View Dr. S Unit 101, Des Moines, WA 98198 | 2008-09-23 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 50316 |
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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.