DR. JILLIAN NICOLE TYLER DDS
NPI 1093392383
Dentist in Waianae, HI

Q: What is Jillian Tyler's NPI number?

The NPI number for Jillian Tyler is 1093392383. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Jillian Tyler'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 Jillian Tyler was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 24, 2021PECOS Enrolled

86-260 FARRINGTON HWY, WAIANAE, HI 96792(808) 697-3300 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2025, May 6, 2025, Aug 31, 2022 and 1 more (4 updates tracked since 2021).

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About Dr. Jillian Nicole Tyler Dds NPPES

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

DR. JILLIAN NICOLE TYLER DDS (NPI 1093392383) is an individual dentist in Waianae, Hawaii, licensed in Hawaii (DTT-387) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093392383

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JILLIAN NICOLE TYLERCredential: DDS

Location Address86-260 FARRINGTON HWYWaianae, HI 96792-3128

Mailing Address22328 88th Way S Unit X103Kent, WA 98031-2825 · (501) 984-3299

Phone(808) 697-3300

Sole ProprietorNo

Enumeration DateMarch 24, 2021

Last NPPES UpdateMay 15, 20254 updates tracked since enumeration

NPPES CertifiedMay 15, 2025

✔ NPI 1093392383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in HI · DTT-387

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.

86-260 FARRINGTON HWY, Waianae, HI 96792

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Combined Life, Humana.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. Jillian Nicole Tyler 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 96792 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

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.

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.

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