Individual provider

Tyler Davis, DDS

General Practice Dentistry Medicare enrolled

Tyler Davis, DDS is a provider specialising in General Practice Dentistry in Johnson City, TN, registered under NPI 1255828356.

Getting there

The practice address on file is 2674 PEOPLES ST STE 40, Johnson City, TN 37604. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2674 PEOPLES ST STE 40, Johnson City, TN 37604 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
11211 TN General Practice Dentistry primary
0401416486 VA General Practice Dentistry
13056 NC General Practice Dentistry

Licences are recorded in 3 states: TN, VA, NC. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Dentist
PAC ID
3476806563

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: North Carolina, Tennessee and Virginia. The practice address on file is in Johnson City, TN, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NC North Carolina
Licence
13056
Specialty
General Practice Dentistry
Verify with the NC board →
TN Tennessee practice address
Licence
11211
Specialty
General Practice Dentistry
Verify with the TN board →
VA Virginia
Licence
0401416486
Specialty
General Practice Dentistry
Verify with the VA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What General Practice covers

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. NUCC Health Care Provider Taxonomy, code 1223G0001X
Dental Providers Dentist General Practice

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223G0001X General Practice Dentistry General Practice 11211 TN primary
1223G0001X General Practice Dentistry General Practice 0401416486 VA
1223G0001X General Practice Dentistry General Practice 13056 NC

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1255828356 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 16, 2018
Last updatedJun 29, 2024
StatusActive
Sole proprietorNo
CredentialDDS
Practice address 2674 PEOPLES ST STE 40
Johnson City, TN 37604
(423) 434-1370
This record was updated on Jun 29, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1255828356 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 5 5 8 2 8 3 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 1 5 7 2 7 3 1

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1255828356?
NPI 1255828356 is the National Provider Identifier assigned to Tyler Davis, DDS in Johnson City, TN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice cover?
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.
How do I contact Tyler Davis, DDS?
The phone number on file with NPPES is (423) 434-1370, last updated Jun 29, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Tyler Davis, DDS accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1255828356 a valid number?
Yes. 1255828356 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.