Amor G Tiburcio, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56727 Issued in CA

Practice address

1140 2ND St Ste D
Brentwood, CA 94513-2239

Phone

(925) 240-7024

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1669501599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 COBALT LN",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131792",
            "telephone_number": "215-350-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 2ND ST STE D",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945132239",
            "telephone_number": "925-240-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBURCIO",
        "first_name": "AMOR",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS036548",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dinah Lynn Thompson
• Meghan Keeley Thompson, PT
• Amanda Rose Thorndike
• Carol Threde
• Tracy Thurman, MS, NCSP
• Alice D Tien, PHARM. D
• Jasen Tjahjadi
• Patricia Han To, MOT, OTR/L
• Sarah Tolvtvar, MED, ATC
• Val Herbert Tompkins, D.C.

• General Practice Dentistry in Brentwood, CA
• Providers in Brentwood, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.