TYLER DOUMA
NPI 1548628175
Dentist - General Practice in Spokane, WA

Q: What is Tyler Douma's NPI number?

The NPI number for Tyler Douma is 1548628175. It was assigned to this individual provider in the NPPES registry on February 10, 2016.

Q: What is Tyler Douma's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Douma was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 February 10, 2016PECOS Enrolled

9019 E MISSION AVE, SPOKANE VALLEY OFFICE, SPOKANE, WA 99212(855) 433-6825 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2016, Feb 10, 2016 (2 updates tracked since 2016).

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About Tyler Douma NPPES

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

TYLER DOUMA (NPI 1548628175) is an individual general practice provider in Spokane, Washington, licensed in Washington (DE60660643) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548628175

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameTYLER DOUMA

Location Address9019 E MISSION AVE, SPOKANE VALLEY OFFICESpokane, WA 99212

Mailing Address6950 Ne Campus WayHillsboro, OR 97124-5611

Phone(855) 433-6825

Sole ProprietorYes

Enumeration DateFebruary 10, 2016

Last NPPES UpdateJuly 13, 20162 updates tracked since enumeration

✔ NPI 1548628175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in WA · DE60660643

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RR 60559973 (WA)

9019 E MISSION AVE, Spokane, WA 99212

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Other Identifiers 1

Other54456158WA · Dentpin

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 Douma 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 99212 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 5

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

WILLAMETTE DENTAL GROUP, P.C.

Dentist