Organization Active NPI

Roy L Tiemeyer Ddspc

  • General Practice Dentistry
  • Corpus Christi, TX
National Provider Identifier
1619980232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11739 Issued in TX
Legal business name
ROY L TIEMEYER DDSPC
Practice address
10338 S.P.I.D.#2
Corpus Christi, TX 78418
Phone
(361) 937-3157
NPI assigned
Aug 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roy L Tiemeyer DDS, DDS
Title
Dentist
Phone
(361) 937-3157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11739 TX Primary

Addresses

Primary practice location

10338 S.P.I.D.#2
Corpus Christi, TX 78418

Mailing address

10338 S.P.I.D.#2
Corpus Christi, TX 78418
Phone (361) 937-3157

Other identifiers 1

IdentifierTypeStateIssuer
667397OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory
Tax ID family
Roy L Tiemeyer DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10338 Spid Dr
#2
Corpus Christi, TX 78418
Phone (361) 480-0311

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619980232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10338 S.P.I.D.#2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78418",
            "telephone_number": "361-937-3157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10338 S.P.I.D.#2",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78418",
            "telephone_number": "361-937-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY L TIEMEYER DDSPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIEMEYER DDS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "361-937-3157",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "11739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "667397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.