DR. TYLEIGH RAIN DAVIDSON DMD
NPI 1558101501
Dentist in Ganado, AZ
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tyleigh Rain Davidson Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Tyleigh Davidson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ganado, AZ 86505
- Reassigned Medicare billing, Arizona enrollment
- 204 clinicians in this Medicare group
Chandler, AZ 85286
- Reassigned Medicare billing, Texas enrollment
- 482 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Tyleigh Davidson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyleigh Davidson reassigns Medicare benefits to 2 organizations: Navajo Health Foundation-Sage Memorial Hospital, Inc. (Ganado, AZ) and Gila River Health Care Corporation (Chandler, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyleigh Davidson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyleigh Davidson accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 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.
# Dr. Tyleigh Rain Davidson, DMD · NPI 1558101501
Dentist provider in Ganado, Arizona. Individual provider, active in the CMS NPPES registry since May 28, 2024.
## Identity
- **NPI:** 1558101501 (Entity type: Individual)
- **Enumerated:** May 28, 2024
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** D012156 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** PO BOX 457, Ganado, AZ 86505-0457
- **Phone:** (928) 755-4850
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Navajo Health Foundation-Sage Memorial Hospital, Inc. (NPI 1477735777, Ganado, AZ); Gila River Health Care Corporation (NPI 1437664182, Chandler, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558101501) · Data from the CMS NPPES public registry.