Organization Active NPI

Tull Oral and Facial Surgery

  • Dental Clinic/Center
  • Overland Park, KS
National Provider Identifier
1255522330
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
60285 Issued in KS
Legal business name
TULL ORAL AND FACIAL SURGERY
Practice address
12541 Foster St
Suite 330
Overland Park, KS 66213-2630
Phone
(913) 888-9300
Fax
(913) 541-1108
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Dr. Gregory T Tull, DMD
Title
Owner
Phone
(913) 888-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 60285 KS Primary

Addresses

Primary practice location

12541 Foster St
Suite 330
Overland Park, KS 66213-2630

Mailing address

12541 Foster St
Suite 330
Overland Park, KS 66213-2630
Phone (913) 888-9300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1255522330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12541 FOSTER ST",
            "address_2": "SUITE 330",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132630",
            "telephone_number": "913-888-9300",
            "fax_number": "913-541-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12541 FOSTER ST",
            "address_2": "SUITE 330",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132630",
            "telephone_number": "913-888-9300",
            "fax_number": "913-541-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULL ORAL AND FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "TULL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-888-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "60285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.