DR. AUSTIN TIDWELL (DMD) – Pediatric Dentistry, NPI 1265059091

DR. AUSTIN TIDWELL (DMD) is a healthcare provider. based in Las vegas, Nevada. specializing in Pediatric Dentistry. They hold the professional credentials DMD. They hold a License No. 7421 (NV). The NPI Number for DR. AUSTIN TIDWELL (DMD) is 1265059091

Main info

Male
Sole Proprietor
Name
DR. AUSTIN TIDWELL (DMD)
NPI
1265059091
Phone
(801) 358-2230
Address
9348 FLOWERING TULIP AVE
Enumeration Date
27 June 2020
Last Update Date
28 June 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:5State licenses:3Digital endpointsOther names

Provider Addresses for DR. AUSTIN TIDWELL (DMD)

  • 9348 FLOWERING TULIP AVE

    LAS VEGAS, NV 891663770

    Phone: (801) 358-2230

    Type: Mailing

  • 1001 SHADOW LN # MS 7423

    LAS VEGAS, NV 891064124

    Phone: (702) 774-2416

    Type: Location

  • 1001 Shadow Ln # MS 7423

    Las Vegas, NV 891064124

    Phone: (702) 774-2416

    Type: Location

  • 3040 N CULLEN CT

    PLEASANT GROVE, UT 840629443

    Phone: (801) 358-2230

    Type: Mailing

  • 1082N N NORTHCOUNTY BLVD

    PLEASANT GROVE, UT 840623400

    Phone: (801) 756-6048

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: KULZER, LLC ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
KULZER, LLC$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89166)

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Reviews

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Frequently asked questions

Where can patients find DR. AUSTIN TIDWELL (DMD)'s NPI?
You can confirm DR. AUSTIN TIDWELL (DMD) with NPI 1265059091; it appears in the national provider directory.
Does this profile mean DR. AUSTIN TIDWELL (DMD) is currently active?
Yes — DR. AUSTIN TIDWELL (DMD) appears active in the national provider directory.
Can you summarize DR. AUSTIN TIDWELL (DMD)'s specialty in plain language?
Clinically, the directory lists DR. AUSTIN TIDWELL (DMD) with Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What location shows for DR. AUSTIN TIDWELL (DMD)?
We surface Las Vegas, Nevada for DR. AUSTIN TIDWELL (DMD) based on available NPPES addresses.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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