Terry Tippin, D.M.D., P.L.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN008730 Issued in GA

Legal business name

TERRY TIPPIN, D.M.D., P.L.C.

Practice address

2800 University Blvd. North
Jacksonville, FL 32211-3394

Phone

(904) 256-7849

Fax

(904) 256-7845

NPI assigned

Feb 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Terry Tippin, D.M.D.,P.L.C.

Title

Orthodontist

Phone

(904) 261-5811

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert E Walinchus, D.M.D.

  • Dentist
  • Savannah, GA
  • NPI 1083736821
  NPD (past)

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1396984878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 SOUTHERN BLVD.",
            "address_2": "OAK PARK DENTAL",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314057414",
            "telephone_number": "912-356-5444",
            "fax_number": "912-356-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY BLVD. NORTH",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113394",
            "telephone_number": "904-256-7849",
            "fax_number": "904-256-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY TIPPIN, D.M.D., P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "TIPPIN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "904-261-5811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,P.L.C."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN008730",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN7025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daffini Hope Terrell, L.M., C.P.M.
• Shannon F Terrell, APRN
• Isabel Terrero
• James Terrill, PA-C
• Terry Chiropractic, Inc.
• Charshus Terry
• Ivey Terry
• Jamik Terry
• Jay Anthony Terry, L.M.T., C.N.M.T.
• Nicole Terry

• Orthodontics and Dentofacial Orthopedics Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.