Timothy Walter Peters, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14459 Issued in OH

Practice address

6431 Bridgetown Rd
Cincinnati, OH 45248-2934

Phone

(513) 574-1477

Fax

(513) 598-1700

NPI assigned

Apr 11, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Timothy W. Peters DDS & Erich D. Lenz DDS Inc

  • General Practice Dentistry
  • Cincinnati, OH
  • NPI 1114140746
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124241898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7465 DEER RUN LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452334212",
            "telephone_number": "513-941-4666",
            "fax_number": "513-598-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 BRIDGETOWN RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452482934",
            "telephone_number": "513-574-1477",
            "fax_number": "513-598-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "TIMOTHY",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "14459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Peters, LISW-S
• Lynn Kirstin Peters, DO
• Marianne B Peters, MD
• Patricia Peters
• Priscilla Peters, MA, LPCC, PCC
• Andrew Wei Petersen, MD
• Anne Marie Petersen, NP
• Adam David Peterson, PSY.D.
• Angela Peterson
• April Amber Peterson

• General Practice Dentistry in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.