Active NPI
Lloyd V Tilt, DDS,MS
- Periodontics
- Salt Lake City, UT
National Provider Identifier
1881982585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 137712-9922
- Practice address
- 1316 Harvard Ave
Salt Lake City, UT 84105-1916 - Phone
- (801) 583-8482
- NPI assigned
- Jul 14, 2011
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 137712-9922 | UT | Primary |
Addresses
Primary practice location
1316 Harvard Ave
Salt Lake City, UT 84105-1916
Mailing address
1316 Harvard Ave
Salt Lake City, UT 84105-1916
Phone (801) 583-8482
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137712-9922 | UT | MD | Periodontist |
Interoperability endpoints
- lloyd.tilt.1@16923.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310601600000",
"number": "1881982585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 HARVARD AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841051916",
"telephone_number": "801-583-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1316 HARVARD AVE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841051916",
"telephone_number": "801-583-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILT",
"first_name": "LLOYD",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "DDS,MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-14",
"last_updated": "2011-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "UT",
"license": "137712-9922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.