Organization Active NPI

Timothy Dineen M.D.

  • Diagnostic Radiology Physician
  • Richmond, KY
National Provider Identifier
1093835100
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
27798 Issued in KY
Legal business name
TIMOTHY DINEEN M.D.
Practice address
103 Alycia Dr
Richmond, KY 40475-2368
Phone
(859) 626-0484
Fax
(859) 626-3663
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Dr. Timothy E Dineen, M.D.
Title
Radiologist
Phone
(859) 626-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 27798 KY Primary

Addresses

Primary practice location

103 Alycia Dr
Richmond, KY 40475-2368

Mailing address

PO Box 909
Berea, KY 40403-0909
Phone (859) 626-0484

Other identifiers 1

IdentifierTypeStateIssuer
64277981MedicaidKY

Other names 1

  • Blueridge Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

106 Ponder Ct
Danville, KY 40422
Phone (859) 626-3412

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1093835100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404030909",
            "telephone_number": "859-626-0484",
            "fax_number": "859-626-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ALYCIA DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404752368",
            "telephone_number": "859-626-0484",
            "fax_number": "859-626-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY DINEEN M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "DINEEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "859-626-0484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "27798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64277981",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blueridge Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.