Tippit Dental Group Bellville PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TIPPIT DENTAL GROUP BELLVILLE PLLC

Practice address

1306 S Front St
Bellville, TX 77418-3305

Phone

(979) 865-9377

Fax

(979) 865-9678

NPI assigned

Aug 10, 2023

Last updated

Aug 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel Tippit III, DDS

Title

President

Phone

(713) 465-1860

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Taylor Tidwell, DDS

  • General Practice Dentistry
  • Bellville, TX
  • NPI 1316836471
  NPD
• Monica Canchola Anderson, D.D.S.

  • Dentist
  • Bellville, TX
  • NPI 1831685908
  NPD (past)
• Payton Canchola, DDS

  • Dentist
  • Katy, TX
  • NPI 1821589581
  NPD (past)
• Tarshya Wickramasinghe Warner, DDS

  • General Practice Dentistry
  • Bellville, TX
  • NPI 1679491922
  NPD (past)

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1316620842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 KATY FWY STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241632",
            "telephone_number": "713-465-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 S FRONT ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774183305",
            "telephone_number": "979-865-9377",
            "fax_number": "979-865-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPPIT DENTAL GROUP BELLVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "TIPPIT",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-465-1860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott & White Clinic (Baylor Scott & White Clinic - Bellville)
• Katja J Sessums, CNA
• Taylor Singer
• Trish Surovik, LCDC, LPC-INTERN
• James Taylor Tidwell, DDS
• Unistar Healthcare Services LLC
• Amanda Paula Walker, PHARM.D.
• Walters Pharmacy Inc
• Tarshya Wickramasinghe Warner, DDS
• Mary Elizabeth Washington

• Dental Clinic/Center in Bellville, TX
• Providers in Bellville, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.