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Dr. Tyler Leavitt , DDS

Dentist • O Fallon, MO

Active NPI 1902307911 Individual Practitioner Male Practitioner
Practice location in NPPES

3009 Highway K
O Fallon, MO 633688696

Call 6363797552 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3009 Highway K

O Fallon, MO 633688696

Telephone 6363797552
Organization at the Same NPPES Address or Phone
Alex Sharifian Dds Ofallon Modern Dentistry Pc Facility NPI 1407281314

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $394.32 across 7 records.

By nature of payment

  • Food and Beverage: $344.66 across 5 records.
  • Charitable Contribution: $49.66 across 2 records.

Reporting-company totals

  • Envista Holdings Corporation: $343.95 across 5 records.
  • American Orthodontics Corporation: $50.37 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in O Fallon and Missouri

31 active clinicians are listed under Dentist with a practice address in O Fallon, MO (1,649 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in O Fallon

0% of these 31 clinicians have the CMS telehealth indicator.

0% of these 31 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $394.32.

Manufacturer Payment Nature Product Type Amount ($)
Envista Holdings Corporation
Food and Beverage
In-kind items and services
SPARK General $242.86
Envista Holdings Corporation
Food and Beverage
In-kind items and services
SPARK General $35.82
Envista Holdings Corporation
Charitable Contribution
Cash or cash equivalent
SPARK General $31.68
American Orthodontics Corporation
Food and Beverage
Cash or cash equivalent
EMPOWER-METAL General $25.68
American Orthodontics Corporation
Food and Beverage
Cash or cash equivalent
EMPOWER-METAL General $24.69
Envista Holdings Corporation
Charitable Contribution
Cash or cash equivalent
SPARK General $17.98
Envista Holdings Corporation
Food and Beverage
In-kind items and services
SPARK General $15.61

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES MO 2018002229

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Dr. Jacquelyn Akmakjian , DMD

Dentist - General Practice

NPI 1952070609

Doctor of Dental Medicine

NPI 1770145716

Doctor of Dental Surgery

Dr. Logan Smith , DDS

Dentist - General Practice

NPI 1831878214

Doctor of Dental Surgery

Dr. Jennifer Soprych , DMD

Dentist - General Practice

NPI 1033696935

Doctor of Dental Medicine

Career & Practice History

NPI enumerated February 25, 2018.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from March 2018 to August 2026.

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NPI Administrative Meta

NPI Number: 1902307911
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2018
Last Update: February 25, 2018
Sole Proprietor: No

Other Dentists in O Fallon

All Dentists in O Fallon

Mailing Address

1200 E Linden Ave

Saint Louis, MO 631171315

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.