Active NPI
Timothy L Lozon, D.D.S.
- General Practice Dentistry
- Bethesda, MD
National Provider Identifier
1073871307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN12524
- Practice address
- Walter Reed National Military Ctr
8901 Wisconsin Avenue BLDG 2 Room 2661
Bethesda, MD 20889-5600 - Phone
- (301) 295-4059
- Fax
- (301) 295-0359
- NPI assigned
- Apr 24, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN12524 | FL | Primary |
| General Practice Dentistry | 1223G0001X | 014567 | MI |
Addresses
Primary practice location
Walter Reed National Military Ctr
8901 Wisconsin Avenue BLDG 2 Room 2661
Bethesda, MD 20889-5600
Mailing address
22551 Sweetleaf LN
Gaithersburg, MD 20882-1451
Phone (301) 938-8272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN12524 | FL | MD | General Practice Dentistry |
| 014567 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1073871307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22551 SWEETLEAF LN",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208821451",
"telephone_number": "301-938-8272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY CTR",
"address_2": "8901 WISCONSIN AVENUE BLDG 2 ROOM 2661",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895600",
"telephone_number": "301-295-4059",
"fax_number": "301-295-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZON",
"first_name": "TIMOTHY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN12524",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "014567",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.