DR. TYSON ANDREW ELLENBECKER (NPI# 1790127835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790127835 |
| Entity Type | Individual |
| Full Name | DR. TYSON ANDREW ELLENBECKER |
| Credential | D.D.S. |
| Practice Address |
1st Dental Bn/ndc Camp Pendleton Box 555221 Fpo AA 92054-2055 |
| Mailing Address |
1st Dental Bn/ndc Camp Pendleton Box 555221 Fpo AA 92054 |
| Practice Telephone | 7607255419 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D1019 | SD | Dental Providers |
| Street Address |
1ST DENTAL BN/NDC CAMP PENDLETON BOX 555221 |
| City | FPO |
| State | AA |
| Zip Code | 92054-2055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369987 | Crownview Telehealth Instiute LLC | Community/Behavioral Health | 315 North Clementine Street, Oceanside, CA 92054 | 2020-09-02 |
| 1992353585 | Janell Katherine Dulaney | Student in an Organized Health Care Education/Training Program | 738 S Tremont St, Oceanside, CA 92054 | 2019-08-28 |
| 1295201986 | North County Psychology Apc | Clinical Neuropsychologist | 2204 S. El Camino Real, #305, Oceanside, CA 92054 | 2018-10-19 |
| 1437638947 | Amy Joanne Buckner | Student in an Organized Health Care Education/Training Program | 2204 S El Camino Real Ste 102, Oceanside, CA 92054 | 2018-08-07 |
| 1285112458 | Alique Bedikian | Counselor | 1100 Sportfisher Dr, Oceanside, Oceanside, CA 92054 | 2018-07-31 |
| 1053809244 | Thrive Medical Specialists, A Professional Corporation | Physical Medicine & Rehabilitation | 322 N Nevada St., Oceanside, CA 92054 | 2018-04-24 |
| 1982133377 | Maegan Casanova | Psychologist | 1213 Herby Way, Oceanside, CA 92054 | 2017-06-08 |
| 1588109466 | Ryan Purvis | Counselor | 2812 Oceanside Blvd, Oceanside, CA 92054 | 2016-12-30 |
| 1629512595 | Ahi Vein and Vascular Specialists Inc A Professional Medical Corp | Clinic/Center | 2125 South El Camino Real, Suite 210, Oceanside, CA 92054 | 2016-12-13 |
| 1437531175 | Ginger Burleson | Counselor | 1110 Sportfisher Drive, Oceanside, CA 92054 | 2015-06-18 |
| Find all providers in zip 92054 | ||||
| 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 |
|---|---|---|---|---|
| 1639723208 | James Jordan Kline | Dentist | Parris Island, Dental Clinic, Fpo, AA 29905 | 2019-07-31 |
| 1902459928 | Gabrielle Klatt | Dentist | Naval Hospital Camp Pendleton Dental Department, Fpo, AA 92055 | 2019-07-18 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1346655644 | Andrew Woodward Hubbard | Dentist | Uss Bataan, Lhd-5, Fpo, AE 09554-1657 | 2014-06-25 |
| 1740615350 | John Houston Greiner | Dentist | 13 Adc Mainside, 92055, Fpo, AA 92055-5221 | 2013-09-13 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1396093589 | Samir Misdaq Hussain | Dentist | Psc 475 Box 1515, Fpo, AP 96350-1515 | 2012-08-21 |
| 1164770517 | James Stephen Feliz | Dentist | Psc 477 Box#2, Fpo, AP 96306 | 2012-08-16 |
| 1902032907 | Joseph R Platt | Dentist | Psc 557 Box 1753, Fpo, AP 96379-1700 | 2009-06-04 |
| 1629132501 | Michael Adam Ravens | Dentist | 3d Dental Battalion, Unit 38450, Fpo, AP 96604 | 2006-12-21 |
| Find all providers in FPO | ||||
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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.