DR. TYLER JEROME KIMMEL DDS
NPI 1205272168
Dentist in Fort Wayne, IN

Q: What is Tyler Kimmel's NPI number?

The NPI number for Tyler Kimmel is 1205272168. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Q: What is Tyler Kimmel'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 Tyler Kimmel was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 20, 2013PECOS Enrolled

1717 S. CALHOUN STREET, FORT WAYNE, IN 46802(260) 458-2641(260) 458-3093 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tyler Jerome Kimmel Dds NPPES

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

DR. TYLER JEROME KIMMEL DDS (NPI 1205272168) is an individual dentist in Fort Wayne, Indiana, licensed in Indiana (12011939A) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205272168

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. TYLER JEROME KIMMELCredential: DDS

Location Address1717 S. CALHOUN STREETFort Wayne, IN 46802

Mailing Address1717 S. Calhoun StreetFort Wayne, IN 46802 · (260) 458-2641 · Fax (260) 458-3093

Phone(260) 458-2641

Fax(260) 458-3093

Sole ProprietorNo

Enumeration DateMay 20, 2013

✔ NPI 1205272168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12011939A

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.

1717 S. CALHOUN STREET, Fort Wayne, IN 46802

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Tyler Jerome Kimmel 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 46802 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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 Kimmel's NPI number?

The NPI number for Tyler Kimmel is 1205272168. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Tyler Kimmel located?

Tyler Kimmel practices at 1717 S. Calhoun Street, Fort Wayne, IN 46802. The listed phone number is (260) 458-2641.

What is Tyler Kimmel's specialty?

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

Is Tyler Kimmel enrolled in Medicare?

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

What insurance does Tyler Kimmel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 11 other insurers list Tyler Kimmel 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 Tyler Kimmel was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.