Dr.Peter Timm #1, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR.PETER TIMM #1, PLLC

Doing business as

One Brilliant Dental of Katy

Practice address

2300 S Mason Rd Ste 104
Katy, TX 77450-6268

Phone

(281) 720-8090

Fax

(281) 720-8091

NPI assigned

Jul 16, 2021

Last updated

Jul 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Peter Timm, DDSNPI 1811134299

Title

Owner/Dentist

Phone

(281) 720-8090

Specialties & licenses 1

Addresses

Other names 1

• One Brilliant Dental of Katy Doing business as

Locations

Practitioners 1

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.

• Peter F Timm, D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1811134299
  NPD Authorized official

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626393600000",
    "number": "1013580141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S MASON RD STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506268",
            "telephone_number": "281-720-8090",
            "fax_number": "281-720-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S MASON RD STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506268",
            "telephone_number": "281-720-8090",
            "fax_number": "281-720-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.PETER TIMM #1, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-16",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "281-720-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One Brilliant Dental of Katy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Teddy PLLC
• Dr. Amit Shah & Associates (TSO Katy Ranch)
• Dr. Maxwell S. Adu-Lartey PA (Houston Spine Institute)
• Dr. Scott C. Burdge P.a.
• Dr. W. Dermatology
• Garrett Draggoo
• Audrey Lynn Drake, RBT
• Emily Drake
• Jason Drake, LCSW-S
• Kristin L Drake, B.S., SLP-A

• Dental Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.