DR. BRADFORD WAYNE TINER D.M.D.
NPI 1720074479
Dentist - General Practice in Richardson, TX

Active since September 27, 2005PECOS Enrolled
3013 E RENNER RD. STE 100, RICHARDSON, TX 75082(972) 231-3013 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, Feb 22, 2017 (2 updates tracked since 2017).

About Dr. Bradford Wayne Tiner D.m.d. NPPES

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

DR. BRADFORD WAYNE TINER D.M.D. (NPI 1720074479) is an individual general practice provider in Richardson, Texas, licensed in Texas (27927) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720074479
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRADFORD WAYNE TINERCredential: D.M.D.
Location Address3013 E RENNER RD. STE 100Richardson, TX 75082
Mailing Address3013 E Renner Rd. Ste 100Richardson, TX 75082 · (972) 231-3013
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
NPI 1720074479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in TX · 27927 Licensed in MO · DE015921
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.

3013 E RENNER RD. STE 100, Richardson, TX 75082

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. Bradford Wayne Tiner D.m.d. 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 75082 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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 Bradford Tiner's NPI number?

The NPI number for Bradford Tiner is 1720074479. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Bradford Tiner located?

Bradford Tiner practices at 3013 E Renner Rd. Ste 100, Richardson, TX 75082. The listed phone number is (972) 231-3013.

What is Bradford Tiner's specialty?

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

Is Bradford Tiner enrolled in Medicare?

Yes. Bradford Tiner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradford Tiner was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.