DR. TYLER DAVIS DDS
NPI 1255828356
Dentist - General Practice in Johnson City, TN

Active since April 16, 2018PECOS Enrolled
2674 PEOPLES ST STE 40, JOHNSON CITY, TN 37604(423) 434-1370 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 29, 2024, Nov 4, 2022, Jul 23, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Tyler Davis Dds NPPES

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

DR. TYLER DAVIS DDS (NPI 1255828356) is an individual general practice provider in Johnson City, Tennessee, licensed in Tennessee (11211) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255828356
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TYLER DAVISCredential: DDS
Location Address2674 PEOPLES ST STE 40Johnson City, TN 37604-4160
Mailing Address2674 Peoples St Ste 40Johnson City, TN 37604-4160 · (423) 434-1370
Sole ProprietorNo
Enumeration DateApril 16, 2018
Last NPPES UpdateJune 29, 20245 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
NPI 1255828356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in TN · 11211 Licensed in VA · 0401416486 Licensed in NC · 13056
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.
2674 PEOPLES ST STE 40, Johnson City, TN 37604

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)

Dr. Tyler Davis 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 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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 Davis's NPI number?

The NPI number for Tyler Davis is 1255828356. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Tyler Davis located?

Tyler Davis practices at 2674 Peoples St Ste 40, Johnson City, TN 37604. The listed phone number is (423) 434-1370.

What is Tyler Davis's specialty?

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

Is Tyler Davis enrolled in Medicare?

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

What insurance does Tyler Davis accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Tyler Davis 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 Davis was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.