DR. JOHN EMERY TILLNER JR. (NPI# 1316135452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316135452 |
| Entity Type | Individual |
| Full Name | DR. JOHN EMERY TILLNER JR. |
| Credential | DDS |
| Practice Address |
752 Medical Center Ct #205 Chula Vista CA 91911-6658 |
| Practice Telephone | 6194826774 |
| Practice Fax Number | 6194827637 |
| Mailing Telephone | 6194826774 |
| Mailing Fax Number | 6194827637 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2010-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
021002336 | IL | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
52944 | CA | Dental Providers |
| Street Address |
752 MEDICAL CENTER CT #205 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91911-6658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266834 | Steven Brozinsky | Internal Medicine | 752 Medical Center Ct, 301, Chula Vista, CA 91911-6658 | 2005-09-22 |
| 1508370875 | Melanie Akins | Nurse Practitioner | 752 Medical Center Ct, Chula Vista, CA 91911-6658 | 2017-11-25 |
| 1730485657 | John Tillner Dental Corporation | Dentist | 752 Medical Center Ct, Ste 205, Chula Vista, CA 91911-6658 | 2011-02-10 |
| 1295043388 | Dhwanil V Vyas | Internal Medicine | 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911-6658 | 2010-09-22 |
| 1750608931 | Pourang Kamali Md Inc | Clinic/Center | 752 Medical Center Ct, 106, Chula Vista, CA 91911-6658 | 2010-04-27 |
| 1265758528 | Urology Specialists of San Diego Inc | Urology | 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911-6658 | 2010-04-12 |
| 1679604714 | Kenneth A. Romero, M.d., Inc | Pain Medicine | 752 Medical Center Ct, Chula Vista, CA 91911-6658 | 2007-03-08 |
| 1043318199 | John S Videen | Internal Medicine | 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911-6658 | 2006-09-20 |
| 1891893848 | John Videen Md,inc | Internal Medicine | 752 Medical Center Ct, Suite 210, Chula Vista, CA 91911-6658 | 2006-09-20 |
| 1427071356 | Jennifer Christine Kastello | Nurse Practitioner | 752 Medical Center Ct, Suite 106, Chula Vista, CA 91911-6658 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011064 | Hfm Inc | Pharmacy | 750 Medical Center Court, Suite 8, Unit A, Chula Vista, CA 91911 | 2020-07-24 |
| 1659991198 | Cindy Way | Student in an Organized Health Care Education/Training Program | 1161 Bay Blvd. Ste. B Chula Vista,ca 91911, Chula Vista, CA 91911 | 2020-04-24 |
| 1083243455 | Uriel Angel Gonzalez | Student in an Organized Health Care Education/Training Program | 1161 Bay Boulevard B, Chula Vista, Chula Vista, CA 91911 | 2020-04-07 |
| 1083252464 | Denisse Patricia Macias | Dentist | 235 East Orange Avenue, Apartment E4, Chula Vista, CA 91911 | 2019-12-16 |
| 1952955494 | Jenifer Irene Wright | Counselor | 1180 Third Ave Suite C-3, Chula Vista, CA 91911 | 2019-08-01 |
| 1891357075 | Myriam Lourdes Scales | Counselor | 1172 3rd Ave Suite D1, Chula Vista, CA 91911 | 2019-07-08 |
| 1295228328 | Centro De Salud De La Comunidad De San Ysidro, Inc | Clinic/Center | 880 Third Ave Ste A, Chula Vista, CA 91911 | 2018-06-13 |
| 1902398589 | The Arc of San Diego | Day Training, Developmentally Disabled Services | 1280 Nolan Avenue, Chula Vista, CA 91911 | 2018-05-31 |
| 1003344292 | Jalitza Cardona | Peer Specialist | 853 3rd Ave, Suite C, Chula Vista, CA 91911 | 2017-06-01 |
| 1598138042 | Amy Nylund | Nurse Practitioner | 754 Medical Center Ct Ste 100, Chula Vista, CA 91911 | 2015-11-05 |
| Find all providers in zip 91911 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871685164 | Nojan Talebzadeh | Dentist | 246 F St, Chula Vista, CA 91910-2818 | 2006-09-28 |
| 1730485657 | John Tillner Dental Corporation | Dentist | 752 Medical Center Ct, Ste 205, Chula Vista, CA 91911-6658 | 2011-02-10 |
| 1194996348 | Richard Scott Mowry | Dentist | 1040 Tierra Del Rey, Ste #109, Chula Vista, CA 91910 | 2008-03-17 |
| 1518165810 | Nojan Talebzadeh M.d.,d.m.d. Inc. | Dentist | 246 F St, Chula Vista, CA 91910-2818 | 2007-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1609493170 | Amir Haghshenas Dds | Dentist | 3880 S Bascom Ave Ste 213, San Jose, CA 95124-2675 | 2020-07-01 |
| 1316568900 | Beech & Reid Dental Partnership | Dentist | 464 E Calaveras Blvd Ste B3, Milpitas, CA 95035-5412 | 2020-05-05 |
| 1518506773 | Francisco Suarez, Dds Inc. | Dentist | 4606 Hollywood Blvd Ste A, Los Angeles, CA 90027-5462 | 2020-01-04 |
| 1831748839 | Slate Dental Corporation | Dentist | 6512 Lonetree Blvd Ste 100, Rocklin, CA 95765-5883 | 2019-09-11 |
| 1255980140 | Dr Maloux Macasaet Saguin Dental Corporation | Dentist | 9800 Topanga Canyon Blvd Ste J, Chatsworth, CA 91311-4075 | 2019-09-04 |
| 1891342267 | Amrollahie and Riman Dental Partnership | Dentist | 1442 Irvine Blvd Ste 225, Tustin, CA 92780-3846 | 2019-08-21 |
| 1548821572 | Hoang Dental Corporation | Dentist | 1356 W Valley Pkwy Ste J, Escondido, CA 92029-2138 | 2019-06-20 |
| 1073173860 | Omfs Care Center Partners | Dentist | 215 N Fresno St Ste 490, Fresno, CA 93701-0000 | 2019-06-14 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91911 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.