TYSON TANNER DMD
NPI 1124406665
Dentist - General Practice in Chariton, IA

Active since May 18, 2015PECOS Enrolled
117 N MAIN ST, CHARITON, IA 50049(641) 774-2312 Get Directions Write a Review

NPPES record last updated: December 9, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2020, Apr 23, 2017, Aug 23, 2016 (3 updates tracked since 2016).

About Tyson Tanner Dmd NPPES

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

TYSON TANNER DMD (NPI 1124406665) is an individual general practice provider in Chariton, Iowa, licensed in Iowa (9377) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124406665
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTYSON TANNERCredential: DMD
Location Address117 N MAIN STChariton, IA 50049-1272
Mailing Address117 N Main StChariton, IA 50049-1272 · (641) 774-2312
Sole ProprietorYes
Enumeration DateMay 18, 2015
Last NPPES UpdateDecember 9, 20203 updates tracked since enumeration
NPPES CertifiedDecember 9, 2020
NPI 1124406665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · 9377
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
117 N MAIN ST, Chariton, IA 50049

Accepted 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)

Tyson Tanner Dmd 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 50049 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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

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

Dentist (General Practice)
117 N MAIN ST
CHARITON, IA 50049

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 Tyson Tanner's NPI number?

The NPI number for Tyson Tanner is 1124406665. It was assigned to this individual provider in the NPPES registry on May 18, 2015.

Where is Tyson Tanner located?

Tyson Tanner practices at 117 N Main St, Chariton, IA 50049. The listed phone number is (641) 774-2312.

What is Tyson Tanner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tyson Tanner enrolled in Medicare?

Yes. Tyson Tanner is registered in the Medicare PECOS enrollment system.

What insurance does Tyson Tanner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 9 other insurers list Tyson Tanner 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 Tyson Tanner was last updated on December 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.