DR. JOHN EMERY TILLNER JR. DDS
NPI 1316135452
Dentist - Oral and Maxillofacial Surgery in Chula Vista, CA
NPI Status: Active since October 12, 2007
Contact Information
752 MEDICAL CENTER CT
#205
CHULA VISTA, CA
ZIP 91911
Phone: (619) 482-6774
Fax: (619) 482-7637
- Individual
- Male
- Dentist
- Oral and Maxillofacial Surgery
- Accepts Insurance
- Opted-Out Medicare
About JOHN TILLNER
This page provides the complete NPI Profile along with additional information for John Tillner, a provider established in Chula Vista, California with a medical specialization in Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1316135452 assigned on October 2007. The practitioner's primary taxonomy code is 1223S0112X with license number 52944 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.
- NPI
- 1316135452
- Provider Name
- DR. JOHN EMERY TILLNER JR. DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 752 MEDICAL CENTER CT #205 CHULA VISTA, CA 91911
- Location Phone
- (619) 482-6774
- Location Fax
- (619) 482-7637
- Mailing Address
- 752 MEDICAL CENTER CT #205 CHULA VISTA, CA 91911
- Mailing Phone
- (619) 482-6774
- Mailing Fax
- (619) 482-7637
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-12-2007
- Last Update Date
- 05-18-2010
- Code Navigator
A dentist like John Tillner is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. John Tillner opted out of Medicare effective on 02-01-2020 until 02-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 52944
- License State
- CA
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223S0112X | Dental Providers | Dentist | 021002336 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueDental Copayment Q - PPO
- BlueDental Copayment QF - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 02-01-2020
Opt-Out End Date: 02-01-2026
Eligible to Order and Refer? No
Reviews for DR. JOHN EMERY TILLNER JR. DDS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 1 | 3 | 5 | 4 | 5 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 2 | 3 | 10 | 4 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 2 + 3 + 1 + 0 + 4 + 1 + 0 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1316135452 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1649266834 | DR. STEVEN BROZINSKY M.D. Individual | Internal Medicine (Gastroenterology) | 752 MEDICAL CENTER CT 301 CHULA VISTA, CA 91911 (619) 421-1155 |
| 1679569743 | DR. EDWARD L SINGER M.D. Individual | Internal Medicine (Gastroenterology) | 752 MEDICAL CENTER CT 301 CHULA VISTA, CA 91911 (619) 421-1155 |
| 1568400455 | GATEWAY MEDICAL GROUP OF SAN DIEGO Organization | Family Medicine | 752 MEDICAL CENTER CT SUITE 210 CHULA VISTA, CA 91911 (619) 527-7700 |
| 1902832702 | KENNETH ROMERO MD Individual | Anesthesiology (Pain Medicine) | 752 MEDICAL CENTER CT #206 CHULA VISTA, CA 91911 (619) 656-3805 |
| 1548298623 | DR. ELAINE LOIS CURTIS M.D. Individual | Family Medicine (Adult Medicine) | 752 MEDICAL CENTER CT SUITE 200 CHULA VISTA, CA 91911 (619) 421-4311 |
| 1346269206 | ALMA ESTHER O'QUINN Individual | Advanced Practice Midwife | 752 MEDICAL CENTER CT SUITE 106 CHULA VISTA, CA 91911 (619) 482-8406 |
| 1427071356 | JENNIFER CHRISTINE KASTELLO Individual | Nurse Practitioner (Women's Health) | 752 MEDICAL CENTER CT SUITE 106 CHULA VISTA, CA 91911 (619) 482-8406 |
| 1891893848 | JOHN VIDEEN MD,INC Organization | Internal Medicine | 752 MEDICAL CENTER CT SUITE 210 CHULA VISTA, CA 91911 (619) 421-3361 |
| 1679604714 | KENNETH A. ROMERO, M.D., INC Organization | Pain Medicine (Pain Medicine) | 752 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 482-5800 |
| 1265758528 | UROLOGY SPECIALISTS OF SAN DIEGO INC Organization | Urology | 752 MEDICAL CENTER CT SUITE 302 CHULA VISTA, CA 91911 (619) 397-4500 |
| 1750608931 | POURANG KAMALI MD INC Organization | Clinic/Center | 752 MEDICAL CENTER CT 106 CHULA VISTA, CA 91911 (619) 754-6120 |
| 1730485657 | JOHN TILLNER DENTAL CORPORATION Organization | Dentist (Oral and Maxillofacial Surgery) | 752 MEDICAL CENTER CT STE 205 CHULA VISTA, CA 91911 (619) 482-6774 |
| 1629001177 | MICHAEL JOHN RENSINK MD Individual | Otolaryngology | 752 MEDICAL CENTER CT SUITE 101 CHULA VISTA, CA 91911 (619) 482-0565 |
| 1104814680 | JEFFREY SCOTT OVERCASH MD Individual | Emergency Medicine | 752 MEDICAL CENTER CT SUITE 105 CHULA VISTA, CA 91911 (619) 955-5246 |
| 1255394789 | JILL MARIE MEYER MD Individual | Internal Medicine (Nephrology) | 752 MEDICAL CENTER CT SUITE 302 CHULA VISTA, CA 91911 (619) 421-3361 |
| 1043318199 | JOHN S VIDEEN MD Individual | Internal Medicine (Nephrology) | 752 MEDICAL CENTER CT SUITE 302 CHULA VISTA, CA 91911 (619) 421-3361 |
| 1225771264 | JENNIFER SANTIAGO OLESCO Individual | Nurse Practitioner | 752 MEDICAL CENTER CT CHULA VISTA, CA 91911 (619) 421-3361 |
| 1508370875 | MELANIE BRAYTENBAH NP-C Individual | Nurse Practitioner | 752 MEDICAL CENTER CT CHULA VISTA, CA 91911 (423) 650-8910 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316135452, enumerated in the NPI registry as an "individual" on October 12, 2007
The provider is located at 752 Medical Center Ct #205 Chula Vista, Ca 91911 and the phone number is (619) 482-6774
The provider's speciality is Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on February 01, 2020 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 01, 2026.
This NPI record was last updated on October 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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