Timothy B Kaltaler, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

053905 Issued in NY

Practice address

7770 Frontage Rd
Cicero, NY 13039-8600

Phone

(315) 458-3088

NPI assigned

Jun 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Practice roles

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.

• Cicero Dental Associates

  • General Practice Dentistry
  • Cicero, NY
  • NPI 1053478743
  NPD (past)

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1104087675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7453 MORGAN RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903957",
            "telephone_number": "315-430-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 FRONTAGE RD",
            "city": "CICERO",
            "state": "NY",
            "postal_code": "130398600",
            "telephone_number": "315-458-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTALER",
        "first_name": "TIMOTHY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "9443",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Chiropractic Health Services PC
• Erik William Johnson, D.C.
• Heather Johnson
• Jose M Alvarez DDS PLLC
• Caren Ann Kahl-Hepp, R.N.
• Meghan Karmis
• Brianna Keller
• Christie Kelly
• Meghan Jeannine Kennedy, LMHC
• Jessica Kinney

• Dentist in Cicero, NY
• Providers in Cicero, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.