Organization Active NPI

Steven a. Tilliss DDS Ms PC

  • Periodontics
  • Greenwood Village, CO
National Provider Identifier
1235398934
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
104295 Issued in CO
Legal business name
STEVEN A. TILLISS DDS MS PC
Practice address
8200 E Belleview Ave
450E
Greenwood Village, CO 80111-2803
Phone
(303) 779-6924
Fax
(303) 741-2777
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Dr. Steve Alan Tilliss, DDS MS
Title
Owner/Dentist
Phone
(303) 779-6924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X 104295 CO Primary

Addresses

Primary practice location

8200 E Belleview Ave
450E
Greenwood Village, CO 80111-2803

Mailing address

8200 E Belleview Ave
450E
Greenwood Village, CO 80111-2803
Phone (303) 779-6924

National Provider Directory

National Provider Directory

Locations

8200 E Belleview Ave
Ste 450E
Greenwood Village, CO 80111
Phone (303) 779-6924

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": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1235398934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "450E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-779-6924",
            "fax_number": "303-741-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 E BELLEVIEW AVE",
            "address_2": "450E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112803",
            "telephone_number": "303-779-6924",
            "fax_number": "303-741-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A. TILLISS DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "TILLISS",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "303-779-6924",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "CO",
            "license": "104295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.