TYLER DEANDA DMD
NPI 1750887410
Dentist in Denver, CO

Q: What is Tyler Deanda's NPI number?

The NPI number for Tyler Deanda is 1750887410. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Q: What is Tyler Deanda's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tyler Deanda was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 April 02, 2018PECOS Enrolled

777 BANNOCK ST, DENVER, CO 80204(303) 602-8200(303) 602-4560 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 11, 2024, Mar 24, 2021, Sep 5, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Tyler Deanda Dmd NPPES

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

TYLER DEANDA DMD (NPI 1750887410) is an individual dentist in Denver, Colorado, licensed in Colorado (DEN.00204069) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1750887410

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTYLER DEANDACredential: DMD

Location Address777 BANNOCK STDenver, CO 80204-4597

Mailing Address301 W 6th AveDenver, CO 80204-5182 · (630) 687-0114

Phone(303) 602-8200

Fax(303) 602-4560

Sole ProprietorNo

Enumeration DateApril 2, 2018

Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1750887410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CO · DEN.00204069

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.

777 BANNOCK ST, Denver, CO 80204

Open in Google Maps ↗

Secondary Practice Location 1

Location 1301 W 6th AveDenver, CO 80204-5182 · Phone (303) 436-6000

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Deanda 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.

Medicare Billing Reassignment

Medicare enrollment records show Tyler Deanda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denver Health And Hospital Authority

Same address

General Practice

777 BANNOCK ST
Denver, CO 80204

Reassigned Medicare billing, Colorado enrollment
2,259 clinicians in this Medicare group

NPI 1477569838 (303) 436-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80204 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 20

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

MS. KATHERINE JEANNE CARLEY RN, MSN, CS

Clinical Nurse Specialist (Psychiatric/Mental Health)