Active NPI
Thomas Ellis Tippit Sr., DDS
- Dentist
- Corpus Christi, TX
National Provider Identifier
1811488257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11389
- Practice address
- 4501 S Staples St
Corpus Christi, TX 78411-7841 - Phone
- (361) 992-8071
- NPI assigned
- May 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11389 | TX | |
| Dentist | 122300000X | 11389 | TX | Primary |
Addresses
Primary practice location
4501 S Staples St
Corpus Christi, TX 78411-7841
Mailing address
4501 S Staples St
Corpus Christi, TX 78411
Phone (210) 569-3784
Other practice location 1
711 North Frio St
San Antonio, TX 78207
Phone (210) 220-2300
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11389 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732060800000",
"number": "1811488257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 S STAPLES ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "78411",
"telephone_number": "210-569-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 S STAPLES ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784117841",
"telephone_number": "361-992-8071"
}
],
"practiceLocations": [
{
"address_1": "711 North Frio St",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "78207",
"country_code": "US",
"telephone_number": "210-220-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIPPIT",
"first_name": "THOMAS",
"middle_name": "ELLIS",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2024-11-20",
"certification_date": "2024-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11389",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "11389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.