Douglas M. Tilley, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10486 Issued in TX

Practice address

17460 Ih 35 N Ste 120
Schertz, TX 78154-1209

Phone

(210) 651-5988

NPI assigned

Aug 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801805981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8502 ACROPOLIS DR",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781482636",
            "telephone_number": "210-658-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17460 IH 35 N STE 120",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541209",
            "telephone_number": "210-651-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "DOUGLAS",
        "middle_name": "M.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Thompson, NP
• Denise Joy Thompson, LISW
• Hyman Demarcus Thompson, M.D.
• Natasha Thompson, AGACNP-BC
• Thriving in Grace Therapy Services, PLLC
• TJ Family Clinic PLLC
• Jeffrey Tjan, DDS
• Valerie Tolbirt
• Tracey Toner
• Noah Gabriel Torreros

• General Practice Dentistry in Schertz, TX
• Providers in Schertz, TX by specialty
• General Practice Dentistry in Texas

• 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.