Stephen A Tullis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5960 Issued in NE

Practice address

6520 Holdrege St
Lincoln, NE 68505-1655

Phone

(402) 464-1861

Fax

(402) 464-1808

NPI assigned

Nov 7, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kodiak Area Native Association

  • Community Health Clinic/Center
  • Kodiak, AK
  • NPI 1679514236

  TX

  Medicare reassignment NPD
• NBD Lincoln PC

  • Dental Clinic/Center
  • Lincoln, NE
  • NPI 1629436019
  NPD (past)
• Tullis & Tullis

  • General Practice Dentistry
  • Lincoln, NE
  • NPI 1851466866
  NPD (past)
• Kodiak Area Native Association

  • Dental Clinic/Center
  • Kodiak, AK
  • NPI 1205883907
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700955416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 HOLDREGE ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051655",
            "telephone_number": "402-464-1861",
            "fax_number": "402-464-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 HOLDREGE ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685051655",
            "telephone_number": "402-464-1861",
            "fax_number": "402-464-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLIS",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47079006600",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Tucker, PA-C
• Patricia M Tucker, CMSW
• Tykiah Tucker
• Antover Tuliao
• Tullis & Tullis
• Sheila Ann Tuma, FNP
• Karen L Tumeh
• Shu Nan Tun
• Jenny Lynn Turechek
• Dennis Edward Turen, PHARMACIST

• General Practice Dentistry in Lincoln, NE
• Providers in Lincoln, NE by specialty
• General Practice Dentistry in Nebraska

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.