Active NPI
Martin G. Tilley D.D.S., M.D., P.C.
- Oral and Maxillofacial Surgery (Dentist)
- Kearney, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- MARTIN G. TILLEY D.D.S., M.D., P.C.
- Practice address
- 516 W 39TH St
Suite D Tower Plaza
Kearney, NE 68845-2881 - Phone
- (308) 865-2577
- NPI assigned
- Oct 21, 2009
- Last updated
- Jan 3, 2018
- Organization subpart
- Yes
- Parent organization
- MARTIN G. TILLEY D.D.S., M.D., P.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin George Tilley, M.D., D.D.S. P.C.
- Title
- Owner
- Phone
- (308) 865-2577
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
516 W 39TH St
Suite D Tower Plaza
Kearney, NE 68845-2881
Mailing address
516 W 39TH St
Suite D Tower Plaza
Kearney, NE 68845-2881
Phone (308) 865-2577
National Provider Directory
National Provider Directory- Part of
- Martin G Tilley DDS MD PC
Locations
908 N Howard Ave
Ste 101
Grand Island, NE 68803
Phone (308) 381-8500
516 W 39th St
Ste D
Kearney, NE 68845
Phone (308) 865-2577
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- Kearney, NE
- NPI 1134295389
-
- Oral and Maxillofacial Surgery (Dentist)
- Kearney, NE
- NPI 1710178538
-
- General Practice Dentistry
- Grand Island, NE
- NPI 1184757809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514937600000",
"number": "1780910026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 W 39TH ST",
"address_2": "SUITE D TOWER PLAZA",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452881",
"telephone_number": "308-865-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 W 39TH ST",
"address_2": "SUITE D TOWER PLAZA",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452881",
"telephone_number": "308-865-2577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN G. TILLEY D.D.S., M.D., P.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MARTIN G. TILLEY D.D.S., M.D., P.C.",
"enumeration_date": "2009-10-21",
"last_updated": "2018-01-03",
"status": "A",
"authorized_official_last_name": "TILLEY",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "308-865-2577",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., D.D.S. P.C."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.