NPIMap

Organization Active NPI

Timothy P. Bakelaar, D.M.D, PLLC

Doing business as Bartlett Pediatric Dentistry and Orthodontics

  • Pediatric Dentistry
  • Bartlett, TN
National Provider Identifier
1043534829
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TIMOTHY P. BAKELAAR, D.M.D, PLLC
Doing business as
Bartlett Pediatric Dentistry and Orthodontics
Practice address
3071 Kirby Whitten Rd
Bartlett, TN 38134-2822
Phone
(901) 382-1564
Fax
(901) 382-0657
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Wendi Stuhr, RDA
Title
Account Manager
Phone
(901) 382-1564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3071 Kirby Whitten Rd
Bartlett, TN 38134-2822

Mailing address

3071 Kirby Whitten Rd
Bartlett, TN 38134-2822
Phone (901) 382-1564

Other names 1

  • Bartlett Pediatric Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

3071 Kirby Whitten Rd
Bartlett, TN 38134
Phone (901) 382-1564

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1043534829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 KIRBY WHITTEN RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342822",
            "telephone_number": "901-382-1564",
            "fax_number": "901-382-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 KIRBY WHITTEN RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342822",
            "telephone_number": "901-382-1564",
            "fax_number": "901-382-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY P. BAKELAAR, D.M.D, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "STUHR",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "901-382-1564",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartlett Pediatric Dentistry and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

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