Jeffrey W Tuller, D.D.S., F.I.C.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D2065 Issued in ID

Practice address

1201 S Five Mile Rd
Boise, ID 83709-1304

Phone

(208) 322-5655

Fax

(208) 323-8160

NPI assigned

Aug 1, 2006

Sex

Male

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

Interoperability endpoints

• Direct secure messaging: jtuller729680@direct.ochin.org

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.

• Southwest Dental Associates

  • General Practice Dentistry
  • Boise, ID
  • NPI 1124346499
  NPD (past) Authorized official
• Affinity Dental

  • Dental Clinic/Center
  • Boise, ID
  • NPI 1629371026
  NPD (past)
• Valley Family Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Emmett, ID
  • NPI 1932139995
  NPD (past)
• Valley Family Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Nyssa, OR
  • NPI 1083641310
  NPD (past)
• Valley Family Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Ontario, OR
  • NPI 1295415032
  NPD (past)
• Valley Family Health Care, Inc

  • Federally Qualified Health Center (FQHC)
  • Ontario, OR
  • NPI 1992732291
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285641589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091304",
            "telephone_number": "208-322-5655",
            "fax_number": "208-323-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S FIVE MILE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091304",
            "telephone_number": "208-322-5655",
            "fax_number": "208-323-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLER",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S., F.I.C.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D2065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri L Tucker, NP
• Maria Lynn Tucker, NNP
• Ryan Tucker, PHARMD
• Alma Tufeckcic
• Casey Tulcan, PT, DPT
• Samantha Tully, NP
• Christine Tumanjan, PHYSICIAN ASSISTANT
• Katelyn Joy Tuohy, DPT
• Allison Tupper, SLP
• Lyndsey Turbow, MD

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• 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.