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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TYLER JAMES BANACHOWSKI DDS
NPI 1033484944
Oral & Maxillofacial Surgery in Melbourne, FL

Active since March 12, 2012PECOS Enrolled
2223 SARNO RD, MELBOURNE, FL 32935(321) 425-2018 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Sep 13, 2019, Aug 3, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Tyler James Banachowski Dds NPPES

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

DR. TYLER JAMES BANACHOWSKI DDS (NPI 1033484944) is an individual oral & maxillofacial surgery provider in Melbourne, Florida, licensed in Florida (DN24505) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033484944
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. TYLER JAMES BANACHOWSKICredential: DDS
Location Address2223 SARNO RDMelbourne, FL 32935-3003
Mailing Address2223 Sarno RdMelbourne, FL 32935-3003 · (321) 425-2018
Phone(321) 425-2018
Sole ProprietorNo
Enumeration DateMarch 12, 2012
Last NPPES UpdateJuly 6, 20264 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1033484944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in FL · DN24505
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentistTaxonomy 122300000X · License DN24505 (FL)
2223 SARNO RD, Melbourne, FL 32935
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 James Banachowski 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEE NELSON SHELDON D.M.D.
Dentist (Periodontics)
2223 SARNO RD
MELBOURNE, FL 32935
Brevard County (321) 259-9980
DR. MATTHEW ERIC SHELDON DMD
Dentist (General Practice)
2223 SARNO RD
MELBOURNE, FL 32935
Brevard County (352) 359-0983
SHELDON AND FURTADO PLLC
Clinic/Center (Dental)
2223 SARNO RD
MELBOURNE, FL 32935
Brevard County (321) 259-9980

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 Banachowski's NPI number?

The NPI number for Tyler Banachowski is 1033484944. It was assigned to this individual provider in the NPPES registry on March 12, 2012.

Where is Tyler Banachowski located?

Tyler Banachowski practices at 2223 Sarno Rd, Melbourne, FL 32935. The listed phone number is (321) 425-2018.

What is Tyler Banachowski's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Tyler Banachowski enrolled in Medicare?

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

What insurance does Tyler Banachowski accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 11 other insurers list Tyler Banachowski 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 Banachowski was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.