DR. TYLER ALAN FORDHAM DDS
NPI 1003115841
Dentist in Yakima, WA

Q: What is Tyler Fordham's NPI number?

The NPI number for Tyler Fordham is 1003115841. It was assigned to this individual provider in the NPPES registry on March 18, 2011.

Q: What is Tyler Fordham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Fordham was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2011PECOS Enrolled

407 N 63RD AVE, YAKIMA, WA 98908(509) 823-1087 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Tyler Alan Fordham Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYLER ALAN FORDHAM DDS (NPI 1003115841) is an individual dentist in Yakima, Washington, licensed in Washington (DE60212723) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003115841

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. TYLER ALAN FORDHAMCredential: DDS

Location Address407 N 63RD AVEYakima, WA 98908-2707

Mailing Address407 N 63rd AveYakima, WA 98908-2707

Phone(509) 823-1087

Sole ProprietorYes

Enumeration DateMarch 18, 2011

✔ NPI 1003115841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60212723

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

407 N 63RD AVE, Yakima, WA 98908

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Alan Fordham Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Fordham's NPI number?

The NPI number for Tyler Fordham is 1003115841. It was assigned to this individual provider in the NPPES registry on March 18, 2011.

Where is Tyler Fordham located?

Tyler Fordham practices at 407 N 63rd Ave, Yakima, WA 98908. The listed phone number is (509) 823-1087.

What is Tyler Fordham's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tyler Fordham enrolled in Medicare?

Yes. Tyler Fordham is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Fordham accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Tyler Fordham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Fordham was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.