Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548628175 Individual Practitioner Male Practitioner

Tyler Douma

Dentist - General Practice • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Tyler Douma is a registered healthcare professional specializing in Dentist - General Practice in Spokane, WA. Practice services are available at 9019 E MISSION AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9019 E Mission Ave
Spokane Valley Office

Spokane, WA 99212

Telephone 8554336825
Associated Practice Facility / Clinic
🏢 Willamette Dental Facility NPI 1194143065

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
145 Specialists

Practicing in Spokane, WA (3345 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60660643

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License WA RR 60559973

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dentpin
54456158 (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003268319

Doctor of Dental Medicine

Dr. Jefferson Gourley , DDS

Dentist - Endodontics

NPI 1003941170

Doctor of Dental Surgery

Dr. Jonathan Kim , DDS

Dentist - General Practice

NPI 1013568294

Doctor of Dental Surgery

NPI 1023520574

Doctor of Dental Surgery

Dr. Myriam Hamieh , DMD, MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1023739224

Doctor of Dental Medicine, Master of Science

NPI 1023851755

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2016

Registered at 9019 E MISSION AVE, SPOKANE VALLEY OFFICE, SPOKANE, WA 99212 (Tel: 8554336825)

📍
Updated Business Mailing Address July 13, 2016

Registered at 6950 NE CAMPUS WAY, HILLSBORO, OR 971245611

👤
Provider Name / Credentials Updated July 13, 2016

Recorded as TYLER DOUMA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2016

Dentist (License #DE60660643 in WA)

🟢
Initial NPI Registration & Enumeration February 10, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548628175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2016
Last Update: July 13, 2016
Sole Proprietor: Yes

Mailing Address

6950 Ne Campus Way

Hillsboro, OR 971245611

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.