Organization
TYLER NELSON, DDS, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER NELSON DDS (OWNER)
(719) 722-0540
Entity
Organization
Contact information
Practice address
950 BOARDWALK STE 100, SAN MARCOS, CA 92078-2600
(760) 644-5494
Mailing address
950 BOARDWALK STE 100, SAN MARCOS, CA 92078-2600
(760) 644-5494
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790093599
GUARDIAN, DELTA DENTAL, UNITED CONCORDIA
—
Enumeration date
08/13/2020
Last updated
07/08/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up