Tyler Koivisto, DDS
NPI 1588002430 · Dentist · White Bear Lake, MN
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyler Koivisto, DDS is a Dentist provider in White Bear Lake, MN (NPI 1588002430).
Provider details
- NPI number
- 1588002430
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D13236 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 16 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-06-12
- Last updated
- 2022-07-21
Frequently asked questions
- What is Tyler Koivisto's NPI number?
- Tyler Koivisto's National Provider Identifier (NPI) is 1588002430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyler Koivisto's specialty?
- Tyler Koivisto is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Tyler Koivisto located?
- Tyler Koivisto's practice location on file with NPPES is 1430 Highway 96, White Bear Lake, MN 55110.
- What is Tyler Koivisto's phone number?
- The practice phone number listed in the NPPES registry for Tyler Koivisto is (651) 426-9502.
- Does Tyler Koivisto accept Medicare?
- Tyler Koivisto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tyler Koivisto's NPI active?
- Yes — Tyler Koivisto's NPI (1588002430) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.