DR. TYSON ARCHER DAVIS DDS
NPI 1770712820
Dentist - General Practice in Casa Grande, AZ

Active since July 10, 2009PECOS Enrolled
2028 N TREKELL RD STE 107, CASA GRANDE, AZ 85122(520) 876-9955 Get Directions Write a Review

NPPES record last updated: September 10, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Tyson Archer Davis Dds NPPES

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

DR. TYSON ARCHER DAVIS DDS (NPI 1770712820) is an individual general practice provider in Casa Grande, Arizona, licensed in Arizona (D7815) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770712820
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TYSON ARCHER DAVISCredential: DDS
Location Address2028 N TREKELL RD STE 107Casa Grande, AZ 85122-1326
Mailing Address2028 N Trekell Rd # 107-108Casa Grande, AZ 85122-1326 · (520) 876-9955
Sole ProprietorNo
Enumeration DateJuly 10, 2009
Last NPPES UpdateSeptember 10, 2018
NPI 1770712820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · D7815
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.

2028 N TREKELL RD STE 107, Casa Grande, AZ 85122

Accepted 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. Tyson Archer Davis Dds 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 85122 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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

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

Dentist
2028 N TREKELL RD STE 107
CASA GRANDE, AZ 85122

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 Tyson Davis's NPI number?

The NPI number for Tyson Davis is 1770712820. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Tyson Davis located?

Tyson Davis practices at 2028 N Trekell Rd Ste 107, Casa Grande, AZ 85122. The listed phone number is (520) 876-9955.

What is Tyson Davis's specialty?

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

Is Tyson Davis enrolled in Medicare?

Yes. Tyson Davis is registered in the Medicare PECOS enrollment system.

What insurance does Tyson Davis accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Tyson Davis 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 Tyson Davis was last updated on September 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.