TYLER JAMES DEITRICK DDS
NPI 1295439578
Student in an Organized Health Care Education/Training Program in Cincinnati, OH
About Tyler James Deitrick Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER JAMES DEITRICK DDS (NPI 1295439578) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyler James Deitrick Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CINCINNATI, OH 45219
CINCINNATI, OH 45219
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 Deitrick's NPI number?
The NPI number for Tyler Deitrick is 1295439578. It was assigned to this individual provider in the NPPES registry on March 29, 2023.
Where is Tyler Deitrick located?
Tyler Deitrick practices at 234 Goodman St, Cincinnati, OH 45219. The listed phone number is (513) 584-2586.
What is Tyler Deitrick's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Tyler Deitrick enrolled in Medicare?
Yes. Tyler Deitrick is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tyler Deitrick was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Tyler James Deitrick, DDS · NPI 1295439578
Student in an Organized Health Care Education/Training Program provider in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since March 29, 2023.
## Identity
- **NPI:** 1295439578 (Entity type: Individual)
- **Enumerated:** March 29, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 234 GOODMAN ST, Cincinnati, OH 45219-2364
- **Phone:** (513) 584-2586
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** March 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1295439578) · Data from the CMS NPPES public registry.