DR. TYLER ELLIOTT NELSON D.M.D.
NPI 1184860561
Dentist in Fairfield, CA

Active since January 06, 2009PECOS Enrolled
2801 WATERMAN BLVD STE 240, FAIRFIELD, CA 94534(707) 428-5427(707) 428-1922 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Tyler Elliott Nelson D.m.d. NPPES

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

DR. TYLER ELLIOTT NELSON D.M.D. (NPI 1184860561) is an individual dentist in Fairfield, California, licensed in California (56695) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184860561
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. TYLER ELLIOTT NELSONCredential: D.M.D.
Location Address2801 WATERMAN BLVD STE 240Fairfield, CA 94534-2987
Mailing Address2801 Waterman Blvd Ste 240Fairfield, CA 94534-2987 · (707) 428-5427 · Fax (707) 428-1922
Fax(707) 428-1922
Sole ProprietorNo
Enumeration DateJanuary 6, 2009
Last NPPES UpdateJuly 21, 2016
NPI 1184860561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 56695
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.
2801 WATERMAN BLVD STE 240, Fairfield, CA 94534

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 Elliott Nelson D.m.d. 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 94534 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
$98.85 typical visit price
range $65.02 – $191.95
Typical copayment $24.71 (range $16.25 – $47.98)
Most-billed visit code 99203
Established Patient
$80.24 typical visit price
range $21.86 – $157.69
Typical copayment $20.06 (range $5.46 – $39.42)
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 2

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

Clinic/Center (Oral and Maxillofacial Surgery)
2801 WATERMAN BLVD STE 240
FAIRFIELD, CA 94534
Dental Assistant
2801 WATERMAN BLVD STE 240
FAIRFIELD, CA 94534

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 Nelson's NPI number?

The NPI number for Tyler Nelson is 1184860561. It was assigned to this individual provider in the NPPES registry on January 6, 2009.

Where is Tyler Nelson located?

Tyler Nelson practices at 2801 Waterman Blvd Ste 240, Fairfield, CA 94534. The listed phone number is (707) 428-5427.

What is Tyler Nelson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Tyler Nelson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tyler Nelson was last updated on July 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.