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

Q: 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.

Q: What is Tyler Owens's specialty?

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

Q: 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 11 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.

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: August 02, 2026.

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

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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

Phone(417) 228-8286

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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)

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.

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.

BRANDON CASEY GOOCH DMD

Dentist (Pediatric Dentistry)