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TYSON TEEPLES DMD, MD
NPI 1952505984
Oral & Maxillofacial Surgery in Kennewick, WA

Active since June 13, 2007Opted out of Medicare · through Mar 28, 2028
512 N YOUNG ST, KENNEWICK, WA 99336(509) 783-7600 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyson Teeples Dmd, Md NPPES

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

TYSON TEEPLES DMD, MD (NPI 1952505984) is an individual oral & maxillofacial surgery provider in Kennewick, Washington, licensed in Washington (60266972) and active in the NPI registry since June 2007. He has opted out of Medicare through March 28, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1952505984
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameTYSON TEEPLESCredential: DMD, MD
Location Address512 N YOUNG STKennewick, WA 99336-7806
Mailing Address512 N Young StKennewick, WA 99336-7806 · (509) 783-7600
Phone(509) 783-7600
Sole ProprietorNo
Enumeration DateJune 13, 2007
Last NPPES UpdateNovember 25, 2014
✔ NPI 1952505984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Licenses✔ Licensed in WA · 60266972✔ Licensed in MN · D12473✔ Licensed in OR · D9701
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License DE60266972 (WA), D9701 (OR)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
512 N YOUNG ST, Kennewick, WA 99336
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Other Identifiers 3

Medicare PIN190000910MN
Medicare PIN850000123MN
Medicaid366965000MN

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tyson Teeples Dmd, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 28, 2018 through March 28, 2028.

Opt-Out Effective DateMarch 28, 2018
Opt-Out In Effect ThroughMarch 28, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 9

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

RONALD J MARSH DDS
Oral & Maxillofacial Surgery
512 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 783-7600
DR. BRANDON WILLIAM REDDINGER D.D.S.
Dentist
512 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 783-7600
PROLIANCE SURGEONS, INC., P.S.
Orthopaedic Surgery
512 N YOUNG ST, SUITE C
KENNEWICK, WA 99336
Benton County (509) 572-2605
COLUMBIA RHEUMATOLOGY
Internal Medicine (Rheumatology)
512 N YOUNG ST, SUITE C
KENNEWICK, WA 99336
Benton County (509) 783-2000
TODD COOPER, DDS, TYSON TEEPLES, DMD, MD, RYAN TOPONCE, DMD, PS.
Dentist (Oral and Maxillofacial Surgery)
512 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 783-7600
RYAN MATTHEW TOPONCE
Dentist (Oral and Maxillofacial Surgery)
512 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 783-7600
JONATHAN G CRAWFORD DDS
Oral & Maxillofacial Surgery
512 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 783-7600
TODD C COOPER DDS
Oral & Maxillofacial Surgery
512 N YOUNG ST
KENNEWICK, WA 99336
Benton County (509) 783-7600

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 Teeples's NPI number?

The NPI number for Tyson Teeples is 1952505984. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Tyson Teeples located?

Tyson Teeples practices at 512 N Young St, Kennewick, WA 99336. The listed phone number is (509) 783-7600.

What is Tyson Teeples's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Tyson Teeples enrolled in Medicare?

No. Tyson Teeples has opted out of Medicare through March 28, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Tyson Teeples accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Tyson Teeples 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 Teeples was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.