DR. TYLER CARL PRESTWICH (NPI# 1518205202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518205202 |
| Entity Type | Individual |
| Full Name | DR. TYLER CARL PRESTWICH |
| Credential | D.D.S., PH.D., M.S. |
| Practice Address |
1015 S Broadway Ste 17 Minot ND 58701-4667 |
| Practice Telephone | 7018522646 |
| Practice Fax Number | 7018391019 |
| Mailing Telephone | 7018522646 |
| Mailing Fax Number | 7018391019 |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2015-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
T2271 | ND | Dental Providers |
| Street Address |
1015 S BROADWAY STE 17 |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942622055 | Sommers Orthodontics | Dentist | 1015 S Broadway Ste 17, Minot, ND 58701-4667 | 2014-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053385468 | Bryan M Vibeto | Dentist | 2615 Elk Dr, Ste 2, Minot, ND 58701-0001 | 2006-02-14 |
| 1124492327 | Sommers & Prestwich Orthodontics | Dentist | 1015 S Broadway, Suite 17, Minot, ND 58701-4667 | 2015-11-25 |
| 1942622055 | Sommers Orthodontics | Dentist | 1015 S Broadway Ste 17, Minot, ND 58701-4667 | 2014-01-08 |
| 1558669119 | Jason Burckhard | Dentist | 700 Western Ave, Suite 100, Minot, ND 58701-3760 | 2011-03-07 |
| 1013063544 | Dennis D Sommers | Dentist | 1015 S Broadway, Suite 17, Minot, ND 58701-4667 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285924 | Shelley Dene Townsend-hansen | Dentist | 1017 Broadway N, Fargo, ND 58102 | 2020-11-04 |
| 1023625126 | Candid North Dakota, Pllc | Dentist | 122 Broadway N, Fargo, ND 58102-4926 | 2020-09-23 |
| 1962650838 | Anthony Edgar Fisher | Dentist | 215 W Highland Dr, Williston, ND 58801-4114 | 2008-09-04 |
| 1730356833 | Dustin Allen Hollevoet | Dentist | 1165 W Turnpike Ave, Bismarck, ND 58501-8115 | 2008-05-08 |
| 1710159579 | Jeremiah Kim Danel | Dentist | 2650 32nd Ave South, Grand Forks, ND 58201 | 2008-04-01 |
| 1144431909 | Alison M Fallgatter | Dentist | 920 10th St. Ne, Suite A, Jamestown, ND 58401 | 2007-05-24 |
| 1386851517 | Edward James Werre | Dentist | 419 Dakota Ave, Wahpeton, ND 58075-4413 | 2007-05-17 |
| 1710106166 | Tracy R Reiner | Dentist | 215 West Highland Drive, Suite D, Williston, ND 58801 | 2007-04-24 |
| 1295958890 | Gary Cornforth | Dentist | 406 1st Ave N, Jamestown, ND 58401-3302 | 2007-04-11 |
| 1699896621 | Michiel Nuveen | Dentist | 1165 S Columbia Rd Ste A, Grand Forks, ND 58201-4007 | 2007-04-03 |
| 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.