Martin G. Tilley D.D.S., M.D., P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

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

Organization subpart

Yes

Parent organization

MARTIN G. TILLEY D.D.S., M.D., P.C.As reported in NPPES

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

Specialties & licenses 1

Addresses

Other identifiers 3

Part of

Martin G Tilley DDS MD PC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Carey, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Kearney, NE
  • NPI 1710178538
  NPD (past)
• Gerald J Murphy, B.S., D.D.S

  • General Practice Dentistry
  • Grand Island, NE
  • NPI 1184757809
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3663",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jolyn Mapes
• Marathon Health, Inc.
• Kim Ann Margheim, RP
• Jacob Marsh, DC
• Nathan Martain
• Karissa Martin
• Ryan Timothy Martin, D.C.
• Walter D Martin, DMD
• Amy Martinez, P.A.
• Jason B Martinez, CRNA

• Oral and Maxillofacial Surgery (Dentist) in Kearney, NE
• Providers in Kearney, NE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nebraska

• 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.

Verify at the official NPI Registry.