NPIMap

Organization Active NPI

Timm Family Dentistry, LLC

  • General Practice Dentistry
  • Bend, OR
National Provider Identifier
1003247099
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5817 Issued in OR
Legal business name
TIMM FAMILY DENTISTRY, LLC
Practice address
375 NE Emerson Ave
Bend, OR 97701-4938
Phone
(541) 382-1991
Fax
(541) 330-9095
NPI assigned
Dec 2, 2013
Last updated
Dec 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Jeffrey W Timm, DMDNPI 1962498329
Title
President
Phone
(541) 382-1991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5817 OR Primary

Addresses

Primary practice location

375 NE Emerson Ave
Bend, OR 97701-4938

Mailing address

375 NE Emerson Ave
Bend, OR 97701-4938
Phone (541) 382-1991

National Provider Directory

National Provider Directory

Locations

375 NE Emerson Ave
Bend, OR 97701
Phone (541) 382-1991

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1003247099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 NE EMERSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014938",
            "telephone_number": "541-382-1991",
            "fax_number": "541-330-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 NE EMERSON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014938",
            "telephone_number": "541-382-1991",
            "fax_number": "541-330-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMM FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-382-1991",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "5817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.