Individual provider Active NPI

William James Tinnell, DDS

  • General Practice Dentistry
  • Falfurrias, TX
National Provider Identifier
1982777660
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14822 Issued in TX
Practice address
129 N Las Pitas St
Falfurrias, TX 78355-3609
Phone
(361) 325-4288
Fax
(361) 325-5746
NPI assigned
Nov 17, 2006
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 14822 TX Primary

Addresses

Primary practice location

129 N Las Pitas St
Falfurrias, TX 78355-3609

Mailing address

PO Box 339
Falfurrias, TX 78355
Phone (361) 325-4288

Other identifiers 2

IdentifierTypeStateIssuer
008749602MedicaidTX
666787OtherTXUNITED CONCORDIA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160926001876 TX Order and Referring Only - DentistPractitioner - Dentist 3476840083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William J. Tinnell DDS Inc. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1982777660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "78355",
            "telephone_number": "361-325-4288",
            "fax_number": "361-325-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N LAS PITAS ST",
            "city": "FALFURRIAS",
            "state": "TX",
            "postal_code": "783553609",
            "telephone_number": "361-325-4288",
            "fax_number": "361-325-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNELL",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008749602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "666787",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falfurrias, TX

Sources for this page

Verify at the official NPI Registry.