Timothy William Smiley, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

14881 Issued in MI

Practice address

1620 North Perry Road
Pontiac, MI 48340

Phone

(248) 373-2321

NPI assigned

Oct 31, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083791958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 FAIRWAYS BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48085",
            "telephone_number": "586-995-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 NORTH PERRY ROAD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "48340",
            "telephone_number": "248-373-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILEY",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "14881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SJMH Medical Practice-SMHC
• Lauren Ann Skilton
• Georgianna Elizabeth Slazinski, LLMSW
• Kelsey Slugaj-Lukowski
• Hannah M Smedes, PARAMEDIC
• Amy L Smith, MD
• Bonnie Ann Smith, MOT, OTR/L
• Chelsea Marie Coffey Smith, RN, BSN
• Deborah A Smith, LMSW
• Deshawnda Smith

• Dentist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.