Jordan J Tilden, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19A14168 Issued in IL

Practice address

333 E Ontario St
Suite a
Chicago, IL 60611-4804

Phone

(312) 664-6616

Fax

(312) 664-0515

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Jordan Tilden & Associates

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1831244045
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194870899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E ONTARIO ST",
            "address_2": "SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114804",
            "telephone_number": "312-664-6616",
            "fax_number": "312-664-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E ONTARIO ST",
            "address_2": "SUITE A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114804",
            "telephone_number": "312-664-6616",
            "fax_number": "312-664-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILDEN",
        "first_name": "JORDAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A14168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rasa Tijunelis, M.D.
• Vasuki Tikkiwal, MD
• Gerasim Tikoff, M.D.
• Chahat Tikoo
• Ermias Tilahun, M.D.
• Zachary Jordan Tilden, D.M.D.
• Kieran Tilford
• Kayla Tilkes
• Jeffrey Tilkin, MD
• Karen Tiller, FNP

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.