Active NPI
Michael Ellis Tullos, RDH
- Dental Hygienist
- Collierville, TN
National Provider Identifier
1346706926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 7517
- Practice address
- 435 New Byhalia Rd
Collierville, TN 38017-3747 - Phone
- (901) 612-2477
- NPI assigned
- Feb 19, 2019
- Last updated
- Feb 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 7517 | TN | Primary |
Addresses
Primary practice location
435 New Byhalia Rd
Collierville, TN 38017-3747
Mailing address
1003 Bruce St
Memphis, TN 38104-5807
Phone (662) 836-7483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1346706926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 BRUCE ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045807",
"telephone_number": "662-836-7483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 NEW BYHALIA RD",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380173747",
"telephone_number": "901-612-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULLOS",
"first_name": "MICHAEL",
"middle_name": "ELLIS",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-19",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "7517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collierville, TN
- Total Renal Care Inc (Collierville Dialysis)
- Georgia Touliatos, PTA
- Patrick Christopher Toy, M.D.
- Edward Joseph Trouy, D.D.S.
- Benjamin Tubbs, PHARM.D
- George Louis Turner III, ATC, LAT
- Irene Elizabeth Ulm, M.D.
- Unique Medical LLC
- Unity Hospice Care, Inc. (Unity Health Care Services)
- Urgent Medical Clinic Inc (Prime Urgent Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.