Individual provider Active NPI

Timothy Dinh, DDS

  • General Practice Dentistry
  • Midlothian, TX
National Provider Identifier
1043096852
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39981 Issued in TX
Practice address
2040 FM 663 Ste 420
Midlothian, TX 76065-6571
Phone
(972) 528-4802
NPI assigned
Sep 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39981 TX Primary

Addresses

Primary practice location

2040 FM 663 Ste 420
Midlothian, TX 76065-6571

Mailing address

1309 Grayhawk Dr
Mansfield, TX 76063-5555
Phone (817) 713-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105004289 TX Order and Referring Only - DentistPractitioner - Dentist 9638520398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39981TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentists of Midlothian and Orthodontics PC PastSince Sep 10, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1043096852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 GRAYHAWK DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760635555",
            "telephone_number": "817-713-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 FM 663 STE 420",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760656571",
            "telephone_number": "972-528-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "TIMOTHY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.