TYLER ORAL & FACIAL SURGERY INC.
NPI 1093673618
Dentist - Oral and Maxillofacial Surgery in Trophy Club, TX

NPI Status: Active since January 13, 2026

Contact Information

2800 E HIGHWAY 114 STE 360
TROPHY CLUB, TX
ZIP 76262
Phone: (682) 514-9026
Fax: (682) 514-9275

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery
  • CLIA Number: 45D1006769
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-26-2026

About TYLER ORAL & FACIAL SURGERY INC.

This page provides the complete NPI Profile along with additional information for Tyler Oral & Facial Surgery Inc., a provider established in Trophy Club, Texas operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1093673618 assigned on January 2026. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated January 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Katie Harris (Rcm Supervisor)

NPI
1093673618
Provider Name
TYLER ORAL & FACIAL SURGERY INC.
Entity Type
Organization
Location Address
2800 E HIGHWAY 114 STE 360 TROPHY CLUB, TX 76262
Location Phone
(682) 514-9026
Location Fax
(682) 514-9275
Mailing Address
2800 E HIGHWAY 114 STE 360 TROPHY CLUB, TX 76262
Mailing Phone
(682) 514-9026
Mailing Fax
(682) 514-9275
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-13-2026
Last Update Date
01-13-2026
Code Navigator

A dentist like Tyler Oral & Facial Surgery Inc. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KATIE HARRIS

Authorized Official Title
RCM SUPERVISOR
Authorized Official Phone
(903) 592-1664

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1006769
Facility Type
Physician Office
Certificate Effective Date
November 27, 2024
Certificate Expiration Date
November 26, 2026
Laboratory Director
MAKOTO SAIGUSA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tyler Oral & Facial Surgery Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093673618, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 6 → 12 → 3 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 2 + 7 + 6 + 6 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1093673618.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093673618, enumerated as an "organization" on January 13, 2026.

The provider is located at 2800 E HIGHWAY 114 STE 360 TROPHY CLUB, TX 76262 and the phone number is (682) 514-9026.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.