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NPI · 1588002430 · NPPES-sourced

Dr. Tyler Koivisto DDS

ActiveDentist
NPI Number
1588002430
Type 1 · Individual
Taxonomy Code
122300000X
Contact
(651) 426-9502
License MN · D13236
Last Updated
Enumerated
Primary practice addressMN · 55110
1430 Highway 96White Bear Lake, MN 55110
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About this NPIWhat this record shows.

NPI 1588002430 is registered to Dr. Tyler Koivisto DDS, a Dentist practising at 1430 Highway 96 in White Bear Lake, Minnesota. Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Dr. Tyler Koivisto DDS has been enumerated in the National Provider Identifier (NPI) registry since 2013.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Dr. Tyler Koivisto DDS accepts. To confirm in-network status with your specific health plan, contact Dr. Tyler Koivisto DDS directly at (651) 426-9502.

Frequently asked

Yes. NPI 1588002430 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (651) 426-9502.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Dr. Tyler Koivisto DDS is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy122300000X
Last updated
Enumerated
StatusActive
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