DR. TYLER TILDEN BOYNTON D.M.D.
NPI 1992934475
Dentist - Oral and Maxillofacial Surgery in Sonoma, CA

Active since July 06, 2009Opted out of Medicare · through Apr 7, 2027
378 PERKINS ST, SONOMA, CA 95476(707) 996-4519 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tyler Tilden Boynton D.m.d. NPPES

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

DR. TYLER TILDEN BOYNTON D.M.D. (NPI 1992934475) is an individual oral and maxillofacial surgery provider in Sonoma, California, licensed in California (63259) and active in the NPI registry since July 2009. He has opted out of Medicare through April 7, 2027.

NPPES Registry Identity

NPI1992934475
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TYLER TILDEN BOYNTONCredential: D.M.D.
Location Address378 PERKINS STSonoma, CA 95476-6827
Mailing Address378 Perkins StSonoma, CA 95476-6827 · (707) 996-4519
Sole ProprietorNo
Enumeration DateJuly 6, 2009
Last NPPES UpdateJune 12, 2014
NPI 1992934475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in CA · 63259
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
378 PERKINS ST, Sonoma, CA 95476

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Tyler Tilden Boynton D.m.d. 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 April 7, 2015 through April 7, 2027.

Opt-Out Effective DateApril 7, 2015
Opt-Out In Effect ThroughApril 7, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
378 PERKINS ST
SONOMA, CA 95476
Dentist (General Practice)
378 PERKINS ST
SONOMA, CA 95476
Dentist (Oral and Maxillofacial Pathology)
378 PERKINS ST
SONOMA, CA 95476

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 Boynton's NPI number?

The NPI number for Tyler Boynton is 1992934475. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Where is Tyler Boynton located?

Tyler Boynton practices at 378 Perkins St, Sonoma, CA 95476. The listed phone number is (707) 996-4519.

What is Tyler Boynton's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Tyler Boynton enrolled in Medicare?

No. Tyler Boynton has opted out of Medicare through April 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tyler Boynton was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.