TYLER OWENS DMD
NPI 1609268861
Dentist - Pediatric Dentistry in Webb City, MO

Active since February 25, 2015PECOS Enrolled
3100 E ZORA ST, WEBB CITY, MO 64870(417) 228-8286(512) 442-6074 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2024, Apr 21, 2022, Jul 24, 2020 (3 updates tracked since 2020).

About Tyler Owens Dmd NPPES

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

TYLER OWENS DMD (NPI 1609268861) is an individual pediatric dentistry provider in Webb City, Missouri, licensed in Missouri (2019005272) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609268861
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameTYLER OWENSCredential: DMD
Location Address3100 E ZORA STWebb City, MO 64870-9770
Mailing Address400 Riverwalk Ter Ste 250Jenks, OK 74037-5619 · (918) 998-0996 · Fax (918) 235-9079
Fax(512) 442-6074
Sole ProprietorNo
Enumeration DateFebruary 25, 2015
Last NPPES UpdateAugust 19, 20253 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
✔ NPI 1609268861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in MO · 2019005272✔ Licensed in KS · 61520✔ Licensed in OK · 106
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 6969 (OK)
3100 E ZORA ST, Webb City, MO 64870

Secondary Practice Locations 2

Location 1404 S Elm St Ste 108Jenks, OK 74037-3714 · Phone (918) 417-2417
Location 22602 S Picher AveJoplin, MO 64804-1641 · Phone (417) 781-2220

Other Identifiers 3

Medicaid201253250AKS
Medicaid830082149MO
Medicaid200715230AOK

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)

Tyler Owens 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.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Owens reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
100 N MILITARY AVE
Baxter Springs, KS 66713
  • Reassigned Medicare billing, Kansas enrollment
  • 177 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 64870 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Dentist
3100 E ZORA ST
WEBB CITY, MO 64870
Dentist
3100 E ZORA ST
WEBB CITY, MO 64870
Dentist (Pediatric Dentistry)
3100 E ZORA ST
WEBB CITY, MO 64870
Oral & Maxillofacial Surgery
3100 E ZORA ST
WEBB CITY, MO 64870
Dentist (Pediatric Dentistry)
3100 E ZORA ST
WEBB CITY, MO 64870
Dentist
3100 E ZORA ST
WEBB CITY, MO 64870
Dentist (Pediatric Dentistry)
3100 E ZORA ST
WEBB CITY, MO 64870

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 Owens's NPI number?

The NPI number for Tyler Owens is 1609268861. It was assigned to this individual provider in the NPPES registry on February 25, 2015.

Where is Tyler Owens located?

Tyler Owens practices at 3100 E Zora St, Webb City, MO 64870. The listed phone number is (417) 228-8286.

What is Tyler Owens's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Tyler Owens enrolled in Medicare?

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

Which organization bills Medicare for Tyler Owens's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Owens reassigns Medicare benefits to Community Health Center Of Southeast Kansas Inc (Baxter Springs, KS). The 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 Tyler Owens's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tyler Owens accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 19 other insurers list Tyler Owens 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 Tyler Owens was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.