DR. TYLER ROBERTO MESA (NPI# 1134625114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134625114 |
| Entity Type | Individual |
| Full Name | DR. TYLER ROBERTO MESA |
| Credential | DDS |
| Practice Address |
189 Greenbrier Blvd Ste A Covington LA 70433-7297 |
| Mailing Address |
1829 Lakeshore Dr Mandeville LA 70448-5917 |
| Practice Telephone | 9858925942 |
| Mailing Telephone | 9857058144 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6855 | LA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
189 GREENBRIER BLVD STE A |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-7297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093822892 | Julia A Richman | Dentist | 17265 Se Wax Rd Ste 103, Covington, WA 98042-9102 | 2006-08-25 |
| 1518967272 | Richard D Olinde | Dentist | 71107 Highway 21, Covington, LA 70433-7151 | 2005-07-26 |
| 1306315429 | Julia A Richman Dds Msd Pllc | Dentist | 17265 Se Wax Rd Ste 103, Covington, WA 98042-9102 | 2018-11-19 |
| 1215311279 | Linda Cao Dds, LLC | Dentist | 71380 Highway 21, Suite 103, Covington, LA 70433-7245 | 2015-07-18 |
| 1104250331 | All for Kids Dental Group, LLC | Dentist | 4115 Tate St Ne, Covington, GA 30014-2554 | 2013-08-23 |
| 1356682728 | Dr Stephen C Holmes, Dds, LLC | Dentist | 189 Greenbriar Blvd, Suite A, Covington, LA 70433-7234 | 2013-03-11 |
| 1356668289 | Adrian Miller | Dentist | 4115 Tate St Ne, Covington, GA 30014-2554 | 2010-05-03 |
| 1679585392 | Todd Stephen Brasuell | Dentist | 71107 Highway 21, Suite 2, Covington, LA 70433-7243 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898982 | Jeff Ellard Dds Apdc | Dentist | 541 Shadows Ln Ste B, Baton Rouge, LA 70806-6559 | 2020-07-13 |
| 1619539483 | Nasrin Danaeifar | Dentist | 2164 Robin St Apt A, New Orleans, LA 70122-4048 | 2019-07-02 |
| 1306308051 | Erin Doody | Dentist | 4 Brittany Pl, Arabi, LA 70032-1356 | 2019-04-02 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1780181180 | Amanda Hall Begue | Dentist | 159 Longview Dr Ste A, Destrehan, LA 70047-5076 | 2018-04-11 |
| 1912407842 | Maturin Pediatric Dentistry LLC | Dentist | 14639 Airline Hwy Ste 111, Gonzales, LA 70737-6632 | 2018-02-16 |
| 1972056638 | Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds and Bryan Ste | Dentist | 3412 Barksdale Blvd, 100, Bossier City, LA 71112-3800 | 2016-07-29 |
| 1386023190 | Christopher Savoy | Dentist | 306 N Lewis St Ste 2, New Iberia, LA 70563-2924 | 2015-05-26 |
| 1235538075 | Austin Joseph Mcmurphy | Dentist | 6315 Hurst St, New Orleans, LA 70118-6162 | 2014-08-18 |
| 1518366368 | Kristoffer Norbo | Dentist | 1485 Tchoupitoulas St Apt 11103, New Orleans, LA 70130-1813 | 2014-08-18 |
| 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.