Nicholas Tyler Tipton, DDS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

39516 Issued in TX

Practice address

3833 Camp Bowie Blvd
Fort Worth, TX 76107-3355

Phone

(817) 672-9867

NPI assigned

Jun 16, 2023

Last updated

Jun 19, 2026By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Buckner Market Place Dental, P.a.

  dba Bear Creek Family Dentistry

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1023166220
  NPD (past)

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1538844675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073355",
            "telephone_number": "214-828-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3833 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761073355",
            "telephone_number": "817-672-9867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3937 N Central Expy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750236837",
            "country_code": "US",
            "telephone_number": "469-854-4333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5252 Golden Triangle Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762444495",
            "country_code": "US",
            "telephone_number": "817-435-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPTON",
        "first_name": "NICHOLAS",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-16",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "39516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leon Tio, D.O.
• Shelsea Magan Tippen, BCBA, LBA
• Jerlene Bonner Tippett
• Hilary Tipps, CRNA
• Monet Avery Tipton
• Urmila H Tirodker, M.D.
• Jessie L Tirrell, LCSW
• Titanium Plus PLLC
• Christina Marie Titler
• Lee R Titus, L.P.C.

• Periodontics in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.