Active NPI
Wesley Friedrich Tillmann, D.M.D.
- General Practice Dentistry
- Murray, UT
National Provider Identifier
1881822625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7393738-9921
- Practice address
- 5872 S 900 E
Suite # 202
Murray, UT 84121-1676 - Phone
- (801) 281-8433
- NPI assigned
- Jul 1, 2009
- Last updated
- Jul 1, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7393738-9921 | UT | Primary |
Addresses
Primary practice location
5872 S 900 E
Suite # 202
Murray, UT 84121-1676
Mailing address
5872 S 900 E
Suite # 202
Murray, UT 84121-1676
Phone (801) 281-8433
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 |
|---|---|---|---|
| 7393738-9921 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1881822625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5872 S 900 E",
"address_2": "SUITE # 202",
"city": "MURRAY",
"state": "UT",
"postal_code": "841211676",
"telephone_number": "801-281-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5872 S 900 E",
"address_2": "SUITE # 202",
"city": "MURRAY",
"state": "UT",
"postal_code": "841211676",
"telephone_number": "801-281-8433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLMANN",
"first_name": "WESLEY",
"middle_name": "FRIEDRICH",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-01",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "7393738-9921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.