Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720731623 Individual Practitioner Male Practitioner

Dr. Tyler Mason Glendrange , MD

General Practice • Kailua, HI

Professional Overview & Biography Verified Profile Summary

Dr. Tyler Glendrange, MD is a registered healthcare professional specializing in General Practice in Kailua, HI. Practice services are available at 6905 HARRIS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6905 Harris Ave
Bldg. 6905

Kailua, HI 96734

Telephone 8082573365
Associated Practice Facility / Clinic
🏢 Naval Health Clinic Hawaii Facility NPI 1033393327

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kailua, HI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 31.3 Yrs
Regional Practice Density
6 Specialists

Practicing in Kailua, HI (183 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-13
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License VA 0101279636

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

39 Associated Practitioners
James Martin , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1003570151
Dr. Lucy Shi , DO

General Practice

NPI 1013478049

Doctor of Osteopathic Medicine (D.O.)

Carolyn Ellison , APRN-C

Nurse Practitioner - Family

NPI 1043627433

APRNC

NPI 1063401487

Doctor of Optometry

Dr. Dawn Ward , DO

Family Medicine

NPI 1093056426

Doctor of Osteopathic Medicine (D.O.)

Isabela Abramowicz

Dental Hygienist

NPI 1114527892

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 11, 2024

Registered at 6905 HARRIS AVE, BLDG. 6905, KAILUA, HI 96734 (Tel: 8082573365)

📍
Updated Business Mailing Address March 11, 2024

Registered at 6905 HARRIS AVE, KAILUA, HI 96734, KAILUA, HI 96734 (Tel: 8082573365)

👤
Provider Name / Credentials Updated March 11, 2024

Recorded as TYLER GLENDRANGE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2024

General Practice (License #0101279636 in VA)

NPI Profile Active January 31, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2022

Registered at 38400 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 9513339133)

📍
Updated Business Mailing Address January 31, 2022

Registered at 38400 BOB WILSON DR, SAN DIEGO, CA 921345000 (Tel: 9513339133)

👤
Provider Name / Credentials Updated January 31, 2022

Recorded as TYLER GLENDRANGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2022

Military Health Care Provider

🟢
Initial NPI Registration & Enumeration January 31, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Tyler Glendrange. Be the first to share your experience!

Sign in to leave a review for Dr. Tyler Glendrange

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1720731623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2022
Last Update: August 13, 2025
Sole Proprietor: No

Mailing Address

6905 Harris Ave, Kailua, Hi 96734

Kailua, HI 96734

Phone: 8082573365

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.