DR. TYLER KENNETH JOHNSON DO
NPI 1073226452
Military Health Care Provider in Lebanon, OR

Active since January 02, 2023
200 MULLINS DR, LEBANON, OR 97355(541) 259-0235 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 18, 2025, Jan 2, 2023 (2 updates tracked since 2023).

About Dr. Tyler Kenneth Johnson Do NPPES

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

DR. TYLER KENNETH JOHNSON DO (NPI 1073226452) is an individual military health care provider provider in Lebanon, Oregon and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1073226452
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameDR. TYLER KENNETH JOHNSONCredential: DO
Location Address200 MULLINS DRLebanon, OR 97355-3983
Mailing Address101 Bodin CirFairfield, CA 94535-1809 · (707) 423-3000
Sole ProprietorYes
Enumeration DateJanuary 2, 2023
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 17, 2025
NPI 1073226452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

200 MULLINS DR, Lebanon, OR 97355

Other Providers at the Same Location NPPES 20

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

General Practice
200 MULLINS DR
LEBANON, OR 97355
Psychiatry & Neurology (Psychiatry)
200 MULLINS DR
LEBANON, OR 97355
Family Medicine
200 MULLINS DR
LEBANON, OR 97355
Internal Medicine
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355
Student in an Organized Health Care Education/Training Program
200 MULLINS DR
LEBANON, OR 97355

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 Johnson's NPI number?

The NPI number for Tyler Johnson is 1073226452. It was assigned to this individual provider in the NPPES registry on January 2, 2023.

Where is Tyler Johnson located?

Tyler Johnson practices at 200 Mullins Dr, Lebanon, OR 97355. The listed phone number is (541) 259-0235.

What is Tyler Johnson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Tyler Johnson was last updated on June 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.