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JOHN TYLER TATE D.D.S.
NPI 1376837807
Dentist - General Practice in Southlake, TX

Active since June 01, 2011PECOS Enrolled
3101 E STATE HIGHWAY 114 STE A, SOUTHLAKE, TX 76092(817) 481-6364(817) 329-2296 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Tyler Tate D.d.s. NPPES

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

JOHN TYLER TATE D.D.S. (NPI 1376837807) is an individual general practice provider in Southlake, Texas, licensed in Texas (26565) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376837807
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOHN TYLER TATECredential: D.D.S.
Location Address3101 E STATE HIGHWAY 114 STE ASouthlake, TX 76092-6639
Mailing Address3101 E State Highway 114 Ste ASouthlake, TX 76092-6639 · (817) 481-6364 · Fax (817) 329-2296
Phone(817) 481-6364
Fax(817) 329-2296
Sole ProprietorNo
Enumeration DateJune 1, 2011
✔ NPI 1376837807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 26565
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.

3101 E STATE HIGHWAY 114 STE A, Southlake, TX 76092
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Tyler Tate D.d.s. 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 76092 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

DR. JOHN MICHAEL TATE D.D.S.
Dentist (General Practice)
3101 E STATE HIGHWAY 114 STE A
SOUTHLAKE, TX 76092
Tarrant County (817) 481-6364

Frequently Asked Questions

What is John Tate's NPI number?

The NPI number assigned to this healthcare provider is 1376837807, enumerated as an "individual" on June 01, 2011.

Where is the provider located?

The provider is located at 3101 E STATE HIGHWAY 114 STE A SOUTHLAKE, TX 76092 and the phone number is (817) 481-6364.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.