Individual provider Active NPI

Duane Rosby Tinkler, DDS, MSD

  • Pediatric Dentistry
  • Amarillo, TX
National Provider Identifier
1750386991
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9639 Issued in TX
Practice address
2455 W Interstate 40
Amarillo, TX 79109-1852
Phone
(806) 350-5437
Fax
(806) 350-5438
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 9639 TX Primary

Addresses

Primary practice location

2455 W Interstate 40
Amarillo, TX 79109-1852

Mailing address

303 Partridge Dr
Amarillo, TX 79124-1415
Phone (806) 355-5320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9639TXMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750386991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PARTRIDGE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241415",
            "telephone_number": "806-355-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 W INTERSTATE 40",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091852",
            "telephone_number": "806-350-5437",
            "fax_number": "806-350-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKLER",
        "first_name": "DUANE",
        "middle_name": "ROSBY",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "9639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

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

Verify at the official NPI Registry.