Active NPI
Jonathan Christopher Timm
- Technician
- Tecumseh, MI
National Provider Identifier
1114442472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- Practice address
- 219 Bidwell St
Tecumseh, MI 49286-1408 - Phone
- (734) 845-1353
- NPI assigned
- Aug 8, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | Primary |
Addresses
Primary practice location
219 Bidwell St
Tecumseh, MI 49286-1408
Mailing address
219 Bidwell St
Tecumseh, MI 49286-1408
Phone (734) 845-1353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609135748 | Medicaid | MI |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114442472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 BIDWELL ST",
"city": "TECUMSEH",
"state": "MI",
"postal_code": "492861408",
"telephone_number": "734-845-1353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 BIDWELL ST",
"city": "TECUMSEH",
"state": "MI",
"postal_code": "492861408",
"telephone_number": "734-845-1353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMM",
"first_name": "JONATHAN",
"middle_name": "CHRISTOPHER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609135748",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tecumseh, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.