Organization Active NPI

Nathan W. Tilman, DDS, PC

  • General Practice Dentistry
  • Newport, RI
National Provider Identifier
1528300274
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NATHAN W. TILMAN, DDS, PC
Practice address
136 Broadway
Newport, RI 02840-2748
Phone
(401) 846-3801
Fax
(404) 184-6384
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Dr. Nathan W. Tilman, DDSNPI 1942344940
Title
Dentist Owner
Phone
(401) 846-3801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

136 Broadway
Newport, RI 02840-2748

Mailing address

136 Broadway
Newport, RI 02840-2748
Phone (401) 846-3801

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1528300274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402748",
            "telephone_number": "401-846-3801",
            "fax_number": "404-184-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028402748",
            "telephone_number": "401-846-3801",
            "fax_number": "404-184-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN W. TILMAN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "TILMAN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DENTIST  OWNER",
        "authorized_official_telephone_number": "401-846-3801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

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

Verify at the official NPI Registry.