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DR. TYLEIGH RAIN DAVIDSON DMD
NPI 1558101501
Dentist in Ganado, AZ

Active since May 28, 2024PECOS Enrolled

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tyleigh Rain Davidson Dmd NPPES

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

DR. TYLEIGH RAIN DAVIDSON DMD (NPI 1558101501) is an individual dentist in Ganado, Arizona, licensed in Arizona (D012156) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558101501
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. TYLEIGH RAIN DAVIDSONCredential: DMD
Location AddressPO BOX 457Ganado, AZ 86505-0457
Mailing Address6931 W Del Rio StChandler, AZ 85226-1696 · (740) 644-0474
Phone(928) 755-4850
Sole ProprietorNo
Enumeration DateMay 28, 2024
NPPES CertifiedMay 28, 2024
✔ NPI 1558101501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · D012156
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.
PO BOX 457, Ganado, AZ 86505
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona 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. Tyleigh Rain Davidson Dmd 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 86505 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 7

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

JENNIFER ELIZABETH CHARLEY LCSW
Social Worker (Clinical)
PO BOX 457
GANADO, AZ 86505
Apache County (928) 755-4586
DEVON KB GORMAN
Counselor (Mental Health)
PO BOX 457
GANADO, AZ 86505
Apache County (928) 755-4586
AMBER ROSE SEOWTEWA OT
Occupational Therapist
PO BOX 457
GANADO, AZ 86505
Apache County (928) 755-4566
RICHARD KIM LAUGHTER MD
Psychiatry & Neurology (Psychiatry)
PO BOX 457
GANADO, AZ 86505
Apache County (928) 755-4933
DR. TAKUR GEORGE BUCK M.D.
Family Medicine
PO BOX 457
GANADO, AZ 86505
Apache County (928) 755-4500
HARRISON JIM THP
Community Health Worker
PO BOX 457
GANADO, AZ 86505
Apache County (928) 755-4586
SHANELL K FRANKLIN
Counselor (Professional)
PO BOX 457
GANADO, AZ 86505
Apache County (928) 755-4586

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 Tyleigh Davidson's NPI number?

The NPI number for Tyleigh Davidson is 1558101501. It was assigned to this individual provider in the NPPES registry on May 28, 2024.

Where is Tyleigh Davidson located?

Tyleigh Davidson practices at PO Box 457, Ganado, AZ 86505. The listed phone number is (928) 755-4850.

What is Tyleigh Davidson's specialty?

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

Is Tyleigh Davidson enrolled in Medicare?

Yes. Tyleigh Davidson is registered in the Medicare PECOS enrollment system.

What insurance does Tyleigh Davidson accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Delta Dental of Arizona and Florida Combined Life and 3 other insurers list Tyleigh Davidson 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 Tyleigh Davidson was last updated on May 28, 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.