DR. TYLER RYAN MACK DMD
NPI 1629323886
Dentist - General Practice in Mcminnville, OR

Q: What is Tyler Mack's NPI number?

The NPI number for Tyler Mack is 1629323886. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Q: What is Tyler Mack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Mack was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 13, 2012PECOS Enrolled

510 E 8TH ST, MCMINNVILLE, OR 97128(503) 472-3147(503) 435-1451 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Tyler Ryan Mack Dmd NPPES

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

DR. TYLER RYAN MACK DMD (NPI 1629323886) is an individual general practice provider in Mcminnville, Oregon, licensed in Oregon (D9740) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629323886

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TYLER RYAN MACKCredential: DMD

Location Address510 E 8TH STMcminnville, OR 97128-3910

Mailing Address510 E 8th StMcminnville, OR 97128-3910 · (503) 472-3147 · Fax (503) 435-1451

Phone(503) 472-3147

Fax(503) 435-1451

Sole ProprietorNo

Enumeration DateJuly 13, 2012

✔ NPI 1629323886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OR · D9740

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

510 E 8TH ST, Mcminnville, OR 97128

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Tyler Ryan Mack 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 97128 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 Mack's NPI number?

The NPI number for Tyler Mack is 1629323886. It was assigned to this individual provider in the NPPES registry on July 13, 2012.

Where is Tyler Mack located?

Tyler Mack practices at 510 E 8th St, Mcminnville, OR 97128. The listed phone number is (503) 472-3147.

What is Tyler Mack's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tyler Mack enrolled in Medicare?

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

What insurance does Tyler Mack accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 11 other insurers list Tyler Mack 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 Mack was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.