Organization Active NPI

William J. Tinnell DDS Inc.

  • General Practice Dentistry
  • Falfurrias, TX
National Provider Identifier
1083988067
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14822 Issued in TX
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

Updated by the provider on Mar 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William J. Tinnell, DDSNPI 1982777660
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
008749602MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.