Individual Healthcare Provider
Tyler A Davis, DMD, MS
Provider's NPPES record last updated: July 30, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1548799661
- Primary Specialty
- Dentist — Endodontics
- Practice Location
- San Clemente, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 7:33 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dentist
Endodontics
Dental Providers
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Taxonomy code 1223E0200X
Provider-Reported License Information
- Dentist (California)
- 106384
- Dentist (Missouri)
- 2019003577
Practice Locations
Practice Location
943 Avenida Pico Unit A
San Clemente, California 92673-3914
Phone: (949) 366-9555
Additional Practice Location
2231 Michigan Ave
Arnold, Missouri 63010-2151
Phone: (636) 287-1226
Record Information
- Enumeration Date
- June 12, 2017
- Provider's NPPES Record Last Updated
- July 30, 2021
- Certification Date
- July 30, 2021
- NPISignal NPPES Dataset
- August 2026
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