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TYLER MASON GLENDRANGE MD
NPI 1720731623
General Practice in Kailua, HI

Active since January 31, 2022
6905 HARRIS AVE, BLDG. 6905, KAILUA, HI 96734(808) 257-3365 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 13, 2025, Jan 31, 2022 (2 updates tracked since 2022).

About Tyler Mason Glendrange Md NPPES

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

TYLER MASON GLENDRANGE MD (NPI 1720731623) is an individual general practice provider in Kailua, Hawaii, licensed in Virginia (0101279636) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1720731623
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameTYLER MASON GLENDRANGECredential: MD
Location Address6905 HARRIS AVE, BLDG. 6905Kailua, HI 96734
Mailing Address6905 Harris Ave, Kailua, Hi 96734Kailua, HI 96734 · (808) 257-3365
Phone(808) 257-3365
Sole ProprietorNo
Enumeration DateJanuary 31, 2022
Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1720731623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101279636
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

6905 HARRIS AVE, Kailua, HI 96734
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Other Providers at the Same Location NPPES 13

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

KYLE JAMES PEDERSON
Military Health Care Provider (Independent Duty Corpsman)
6905 HARRIS AVE
KAILUA, HI 96734
Honolulu County (808) 257-3365
DR. ALEXANDER STANTON JAHNCKE MD
General Practice
6905 HARRIS AVE
KAILUA, HI 96734
Honolulu County (808) 257-3100
KEEGAN PATRICK FEES PA-C
Physician Assistant
6905 HARRIS AVE
MCBH KANEOHE BAY, HI 96734
Honolulu County (808) 473-7551
GIACOMO TOMASELLO
Family Medicine
6905 HARRIS AVE
KAILUA, HI 96734
Honolulu County (808) 257-2837
BRIAN JOSHUA ROSS
Physician Assistant
6905 HARRIS AVE
KAILUA, HI 96734
Honolulu County (808) 257-3365
BAILEY WILLIAM CORSON MD
General Practice
6905 HARRIS AVE
KAILUA, HI 96734
Honolulu County (303) 775-4098
STEPHANIE LYNNE AMICK PA-C
Physician Assistant
6905 HARRIS AVE
KAILUA, HI 96734
Honolulu County (808) 257-3365
DR. JOHN WALTER COOK MD
General Practice
6905 HARRIS AVE
KAILUA, HI 96734
Honolulu County (808) 257-3365

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 Glendrange's NPI number?

The NPI number for Tyler Glendrange is 1720731623. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Tyler Glendrange located?

Tyler Glendrange practices at 6905 Harris Ave Bldg. 6905, Kailua, HI 96734. The listed phone number is (808) 257-3365.

What is Tyler Glendrange's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Tyler Glendrange was last updated on August 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.