NPIMap

Organization Active NPI

Dr. RJ Tippin DDS PA

Doing business as Tippin Dental Group

  • General Practice Dentistry
  • Newton, KS
National Provider Identifier
1184779209
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5651 Issued in KS
Legal business name
DR. RJ TIPPIN DDS PA
Doing business as
Tippin Dental Group
Practice address
431 Victoria Rd
Newton, KS 67114-5653
Phone
(316) 283-2970
Fax
(316) 283-5093
NPI assigned
Jan 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert J Tippin, DDSNPI 1912937558
Title
President
Phone
(316) 283-2970

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 Dentistry 1223G0001X 5651 KS Primary

Addresses

Primary practice location

431 Victoria Rd
Newton, KS 67114-5653

Mailing address

431 Victoria Rd
Newton, KS 67114-5653
Phone (316) 283-2970

Other names 1

  • Tippin Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

431 Victoria Rd
Newton, KS 67114
Phone (316) 283-2970

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184779209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 VICTORIA RD",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145653",
            "telephone_number": "316-283-2970",
            "fax_number": "316-283-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 VICTORIA RD",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671145653",
            "telephone_number": "316-283-2970",
            "fax_number": "316-283-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RJ TIPPIN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIPPIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-283-2970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tippin Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.