Tillman Dental & Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

23294 Issued in TX

Legal business name

TILLMAN DENTAL & ORTHODONTICS

Doing business as

Almeda Dental Group

Practice address

2280 Holcombe Blvd
Houston, TX 77030-4224

Phone

(713) 799-1400

Fax

(713) 799-1751

NPI assigned

Jan 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Derek Tillman, D.M.D.

Title

President/Ceo

Phone

(713) 294-5774

Specialties & licenses 1

Addresses

Other names 1

• Almeda Dental Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1230940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230940800000",
    "number": "1093951626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 KIAM ST UNIT F",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770071141",
            "telephone_number": "713-294-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304224",
            "telephone_number": "713-799-1400",
            "fax_number": "713-799-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLMAN DENTAL & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-03",
        "last_updated": "2009-01-03",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "713-294-5774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Almeda Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catherine A Tilley, APN
• Christina Maria Tilley, MD
• Rebecca Tilley, OTD, OTR
• Brianne Lynette Tillis
• Dayna Skolkin Tillis, AGACNP-BC
• Charlita Tillman
• Davlyn Tillman, M.D.
• Derek Tillman, D.M.D.
• Richard Tillmann, DC
• Kyndra Tamia Denise Tillmon

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2009; 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.