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TYLER HANIS
NPI 1710728621
Dentist in Prescott, AZ

Active since June 04, 2024
1058 FAIR ST STE A, PRESCOTT, AZ 86305(928) 776-0606 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Jun 4, 2024 (2 updates tracked since 2024).

About Tyler Hanis NPPES

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

TYLER HANIS (NPI 1710728621) is an individual dentist in Prescott, Arizona, licensed in Utah (13989712-9923) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1710728621
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTYLER HANIS
Location Address1058 FAIR ST STE APrescott, AZ 86305-1803
Mailing Address3290 Willow Butte CirPrescott, AZ 86301-8540
Phone(928) 776-0606
Sole ProprietorYes
Enumeration DateJune 4, 2024
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1710728621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in UT · 13989712-9923
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1058 FAIR ST STE A, Prescott, AZ 86305
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHELE A BIBEAU D.D.S.
Dentist (General Practice)
1058 FAIR ST STE A
PRESCOTT, AZ 86305
Yavapai County (928) 776-0606

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 Hanis's NPI number?

The NPI number for Tyler Hanis is 1710728621. It was assigned to this individual provider in the NPPES registry on June 4, 2024.

Where is Tyler Hanis located?

Tyler Hanis practices at 1058 Fair St Ste A, Prescott, AZ 86305. The listed phone number is (928) 776-0606.

What is Tyler Hanis's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Tyler Hanis accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 7 other insurers list Tyler Hanis 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 Hanis was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.