DR. TYLER CHANCE DEVAUGHAN D.D.S., M.S.
NPI 1558625335
Dentist - Orthodontics and Dentofacial Orthopedics in Ada, OK

Active since June 27, 2012PECOS Enrolled
500 N MONTE VISTA ST STE 1B, ADA, OK 74820(580) 276-1834(580) 559-0658 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tyler Chance Devaughan D.d.s., M.s. NPPES

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

DR. TYLER CHANCE DEVAUGHAN D.D.S., M.S. (NPI 1558625335) is an individual orthodontics and dentofacial orthopedics provider in Ada, Oklahoma, licensed in Oklahoma (0224) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558625335
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. TYLER CHANCE DEVAUGHANCredential: D.D.S., M.S.
Location Address500 N MONTE VISTA ST STE 1BAda, OK 74820-4670
Mailing Address500 N Monte Vista St Ste 1bAda, OK 74820-4670 · (580) 967-1817 · Fax (580) 967-0818
Fax(580) 559-0658
Sole ProprietorNo
Enumeration DateJune 27, 2012
Last NPPES UpdateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
NPI 1558625335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in OK · 0224
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 6385 (OK)
500 N MONTE VISTA ST STE 1B, Ada, OK 74820

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. Tyler Chance Devaughan D.d.s., M.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 74820 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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 Devaughan's NPI number?

The NPI number for Tyler Devaughan is 1558625335. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Tyler Devaughan located?

Tyler Devaughan practices at 500 N Monte Vista St Ste 1B, Ada, OK 74820. The listed phone number is (580) 276-1834.

What is Tyler Devaughan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Tyler Devaughan enrolled in Medicare?

Yes. Tyler Devaughan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Devaughan was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.