P Praxis·MD
● Active Type 1 · Individual

DR. J Derek Tieken, D.D.S.

Dentist·League City, TX· NPI 1164518007 · Enumerated 2006 · 19 years on NPI
Tieken is 1 of 31 dentist providers in League City and 1 of 9237 in Texas.
NPI age
19 years
Enumerated 2006-10-05
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 9237 active dentist providers in Texas.

NPI age
19 years
↑ 7 yr above median (12 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
3033 Marina Bay Dr Ste 230
League City, TX 775733982
📞 2813344944fax 2815383689
Mailing address
3023 Marina Bay Dr, #105
League City, TX 775732874
📞 2813344944fax 2815383689

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    TX license #16312 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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