DR. JOHN EMERY TILLNER JR. DDS
NPI 1316135452
Dentist - Oral and Maxillofacial Surgery in Chula Vista, CA

Active since October 12, 2007Opted out of Medicare · through Feb 1, 2028
752 MEDICAL CENTER CT, #205, CHULA VISTA, CA 91911(619) 482-6774(619) 482-7637 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Emery Tillner Jr. Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN EMERY TILLNER JR. DDS (NPI 1316135452) is an individual oral and maxillofacial surgery provider in Chula Vista, California, licensed in California (52944) and active in the NPI registry since October 2007. He has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1316135452
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN EMERY TILLNER JR.Credential: DDS
Location Address752 MEDICAL CENTER CT, #205Chula Vista, CA 91911-6658
Mailing Address752 Medical Center Ct, #205Chula Vista, CA 91911-6658 · (619) 482-6774 · Fax (619) 482-7637
Fax(619) 482-7637
Sole ProprietorYes
Enumeration DateOctober 12, 2007
Last NPPES UpdateMay 18, 2010
NPI 1316135452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in CA · 52944 Licensed in IL · 021002336
Definition
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.
752 MEDICAL CENTER CT, Chula Vista, CA 91911

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. John Emery Tillner Jr. Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2020 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2020
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
752 MEDICAL CENTER CT, SUITE 302
CHULA VISTA, CA 91911
Emergency Medicine
752 MEDICAL CENTER CT, SUITE 105
CHULA VISTA, CA 91911
Nurse Practitioner
752 MEDICAL CENTER CT
CHULA VISTA, CA 91911
Internal Medicine (Nephrology)
752 MEDICAL CENTER CT, SUITE 302
CHULA VISTA, CA 91911
Urology
752 MEDICAL CENTER CT, SUITE 302
CHULA VISTA, CA 91911
Advanced Practice Midwife
752 MEDICAL CENTER CT, SUITE 106
CHULA VISTA, CA 91911
Nurse Practitioner (Women's Health)
752 MEDICAL CENTER CT, SUITE 106
CHULA VISTA, CA 91911
Family Medicine (Adult Medicine)
752 MEDICAL CENTER CT, SUITE 200
CHULA VISTA, CA 91911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Tillner's NPI number?

The NPI number for John Tillner is 1316135452. It was assigned to this individual provider in the NPPES registry on October 12, 2007.

Where is John Tillner located?

John Tillner practices at 752 Medical Center Ct #205, Chula Vista, CA 91911. The listed phone number is (619) 482-6774.

What is John Tillner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is John Tillner enrolled in Medicare?

No. John Tillner has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does John Tillner accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list John Tillner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Tillner was last updated on May 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.