Organization Active NPI

T Bullion DDS Inc

  • General Practice Dentistry
  • Milwaukee, WI
National Provider Identifier
1235593609
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4389-15 Issued in WI
Legal business name
T BULLION DDS INC
Practice address
310 W Wisconsin Ave
Suite 100M
Milwaukee, WI 53203-2213
Phone
(414) 273-5553
NPI assigned
Apr 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Dr. Timothy Robert Bullion, DDS
Title
Owner
Phone
(414) 273-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4389-15 WI Primary

Addresses

Primary practice location

310 W Wisconsin Ave
Suite 100M
Milwaukee, WI 53203-2213

Mailing address

310 W Wisconsin Ave
Suite 100M
Milwaukee, WI 53203-2213
Phone (414) 273-5553

National Provider Directory

National Provider Directory

Locations

310 W Wisconsin Ave
Unit 100M
Milwaukee, WI 53203
Phone (414) 273-5553

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1235593609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W WISCONSIN AVE",
            "address_2": "SUITE 100M",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032213",
            "telephone_number": "414-273-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W WISCONSIN AVE",
            "address_2": "SUITE 100M",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032213",
            "telephone_number": "414-273-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T BULLION DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "BULLION",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-273-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4389-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.