Organization Active NPI

Thomas F. Tilson, DDS, Ms, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Olympia, WA
National Provider Identifier
1770664385
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00007235 Issued in WA
Legal business name
THOMAS F. TILSON, DDS, MS, PLLC
Practice address
1934 4TH Ave E
Olympia, WA 98506-4632
Phone
(360) 943-1910
Fax
(360) 943-6258
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Authorized official

Name
Dr. Thomas F Tilson, DDS, MS
Title
Member
Phone
(360) 943-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DE00007235 WA Primary

Addresses

Primary practice location

1934 4TH Ave E
Olympia, WA 98506-4632

Mailing address

1934 4TH Ave E
Olympia, WA 98506-4632
Phone (360) 943-1910

National Provider Directory

National Provider Directory

Locations

1934 4th Ave E
Olympia, WA 98506
Phone (360) 943-1910

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1770664385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064632",
            "telephone_number": "360-943-1910",
            "fax_number": "360-943-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064632",
            "telephone_number": "360-943-1910",
            "fax_number": "360-943-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS F. TILSON, DDS, MS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "TILSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-943-1910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00007235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.