Active NPI
William J. Tinnell DDS Inc.
- General Practice Dentistry
- Falfurrias, TX
National Provider Identifier
1083988067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14822
- Legal business name
- WILLIAM J. TINNELL DDS INC.
- Practice address
- 1402 S St Marys St Ste C
Falfurrias, TX 78355-5037 - Phone
- (361) 325-4288
- Fax
- (361) 325-5746
- NPI assigned
- Mar 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William J. Tinnell, DDS
- Title
- Onwer/Dr
- Phone
- (361) 325-4288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14822 | TX | Primary |
Addresses
Primary practice location
1402 S St Marys St Ste C
Falfurrias, TX 78355-5037
Mailing address
PO Box 339
Falfurrias, TX 78355-0339
Phone (361) 325-4288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008749602 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1402 S St Marys St
Ste C
Falfurrias, TX 78355
Phone (361) 325-4288
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Falfurrias, TX
- NPI 1982777660
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331164800000",
"number": "1083988067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 339",
"city": "FALFURRIAS",
"state": "TX",
"postal_code": "783550339",
"telephone_number": "361-325-4288",
"fax_number": "361-325-5746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 S ST MARYS ST STE C",
"city": "FALFURRIAS",
"state": "TX",
"postal_code": "783555037",
"telephone_number": "361-325-4288",
"fax_number": "361-325-5746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J. TINNELL DDS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A",
"authorized_official_last_name": "TINNELL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "ONWER/DR",
"authorized_official_telephone_number": "361-325-4288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008749602",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falfurrias, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.