NPPES file of Aug 9, 2026

Tyler Russell Johansen, DMD, MS

Periodontics · Pearl Harbor, HI

Tyler Russell Johansen, DMD, MS is a periodontics with a practice address in Pearl Harbor, Hawaii, and NPI 1568718146, issued on Aug 1, 2012. Check the license with the Hawaii board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1568718146
Name
Tyler Russell Johansen
Credential
DMD, MS
Primary taxonomy
Periodontics 1223P0300X
License number
DS039183 PA
Self-reported in NPPES; status is on the state search
Practice location
Naval Health Clinic Hawaii, Pearl Harbor, HI 96860
Phone
(530) 276-3389
Enumerated
Aug 1, 2012
Record last updated
May 21, 2025
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at Naval Health Clinic Hawaii

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. John Baleix, MD, MPHPreventive Medicine/Occupational Environmental Medicine Physician1497725253
  2. Samuel Beck, DMDOral and Maxillofacial Surgery (Dentist)1528215431
  3. Shane Byun, DMD, MSDentist1811413610
  4. Anntonette Capre, PSY.D.Clinical Psychologist1700048220
  5. Kandis Carter, DMDGeneral Practice Dentistry1407466337
  6. Torri GainesRegistered Nurse1447726708

Verify Tyler Russell Johansen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Hawaii board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Industry payments in 2024: $143.51

1 payment: food and beverage; the largest payer was Zimvie Inc. The 2,966 providers of this specialty with any payment received $1,338.41 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Tyler Johansen$143.51
  2. Specialty average$1,338.41

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Tyler Russell Johansen among 39 periodontics records in Hawaii

Tyler Russell Johansen, DMD, MS is one of 39 periodontics records with a practice address in Hawaii. 62% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 72% of them.

  • NPI issued2012 · 72% of these records are older, 21% newer
  • In a Medicare fileYes · 62% of these records are
  • In the CMS Doctors and Clinicians fileNo · 0% of these records are
  • Record last updated2025 · 69% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223P0300X and a Hawaii practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Periodontics providers in Hawaii

There are 39 periodontics records in Hawaii.

The 8 periodontics records with the nearest ZIP codes

  1. Craig Hofferber, D.D.S., M.S.Pearl Harbor, HI 968601609201508
  2. Heather Stein, DMD, MSPearl Harbor, HI 968601114902939
  3. Gregory Blythe, DDSTripler Amc, HI 968591982685749
  4. Aaron Colamarino, DDSTripler Army Medical Center, HI 968591396399150
  5. John Etzenbach, DDSTripler Amc, HI 968591790740322
  6. Donald Scales, DDSTripler Amc, HI 968591265419493
  7. Brian Stancoven, DDSTripler Amc, HI 968591508823840
  8. Albert Cheng, DDSSchofield Barracks, HI 968571265780175

Common questions

What is Tyler Russell Johansen, DMD, MS's NPI number?

Tyler Russell Johansen, DMD, MS's National Provider Identifier (NPI) is 1568718146, issued on Aug 1, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Tyler Russell Johansen, DMD, MS located?

The NPPES record lists a practice address at Naval Health Clinic Hawaii, Pearl Harbor, HI, 96860. Phone: (530) 276-3389. Providers update this record themselves, so call before visiting.

How can I verify Tyler Russell Johansen, DMD, MS's license?

Search the Hawaii board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.