Tim M Verwest, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12089 Issued in FL

Practice address

9371 Cypress Lake Dr
Suite7
Fort Myers, FL 33919-4939

Phone

(239) 482-2722

Fax

(239) 482-7877

NPI assigned

Feb 13, 2006

Last updated

Jun 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tim M. Verwest, D.M.D., P.a.

  • Pediatric Dentistry
  • Fort Myers, FL
  • NPI 1457791238
  NPD (past) Authorized official

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1013981620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9371 CYPRESS LAKE DR",
            "address_2": "SUITE7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194939",
            "telephone_number": "239-482-2722",
            "fax_number": "239-482-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9371 CYPRESS LAKE DR",
            "address_2": "SUITE7",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339194939",
            "telephone_number": "239-482-2722",
            "fax_number": "239-482-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERWEST",
        "first_name": "TIM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "12089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073699600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073699601",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adia Vernette, PA-C
• Victoria M. Vernon, APRN
• Heather Michelle Veronie, PA-C
• Rocco Verrico
• Dawn Renee Verville, RRT
• Very Good Mind, LLC
• Christine Vezzola, P.T.
• Edward A Vezzola, P.T.
• VG Primary Care PLLC
• Kaylee Nicole Vibbert, PA

• Pediatric Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.