Donald William Tipple, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3594 Issued in WI

Practice address

4333 Nakoma Rd
Madison, WI 53711-3700

Phone

(608) 271-0331

Fax

(608) 271-3464

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 5, 2015 through May 5, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nakoma Dental LLC

  • General Practice Dentistry
  • Madison, WI
  • NPI 1083778799
  NPD (past) Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467487934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 NAKOMA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113700",
            "telephone_number": "608-271-0331",
            "fax_number": "608-271-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 NAKOMA RD",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113700",
            "telephone_number": "608-271-0331",
            "fax_number": "608-271-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPLE",
        "first_name": "DONALD",
        "middle_name": "WILLIAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deverie Dawn Tinnen, D.C.
• Robert Russell Tinnen, D.C.
• Marlow Tiosejo, BSN RN CDCES
• Parag A. Tipnis, MD
• Katharine Elizabeth Tippins, MD
• Meghan L Tipsword
• Jessica Sue Tischendorf, M.D.
• Courtney L Titus
• Karlie M Titus, OTR
• Lauren Titus, CNA

• General Practice Dentistry in Madison, WI
• Providers in Madison, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.