Tyson Roethlisberger, D.D.S.
NPI 1487632949 · General Practice Dentistry · Monroe, MI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyson Roethlisberger, D.D.S. is a General Practice Dentistry provider in Monroe, MI (NPI 1487632949).
Provider details
- NPI number
- 1487632949
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- License
- 2901015834 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Tyson Roethlisberger's NPI number?
- Tyson Roethlisberger's National Provider Identifier (NPI) is 1487632949, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyson Roethlisberger's specialty?
- Tyson Roethlisberger is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Tyson Roethlisberger located?
- Tyson Roethlisberger's practice location on file with NPPES is 721 N Macomb St, Monroe, MI 48162-2982.
- What is Tyson Roethlisberger's phone number?
- The practice phone number listed in the NPPES registry for Tyson Roethlisberger is (734) 241-6710.
- Does Tyson Roethlisberger accept Medicare?
- Tyson Roethlisberger is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyson Roethlisberger's NPI active?
- Yes — Tyson Roethlisberger's NPI (1487632949) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.