Timothy Tiralosi, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN11531 Issued in FL

Practice address

731 Stirling Center PL
Suite 1951
Lake Mary, FL 32746-5209

Phone

(407) 333-1335

Fax

(407) 333-1244

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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 FL

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tim Tiralosi D.M.D. LLC

  • Dentist
  • Lake Mary, FL
  • NPI 1790137552
  NPD (past) Authorized official
• Goodwin Dentistry and Medicine, LLC

  • Health Service Clinic/Center
  • Winter Park, FL
  • NPI 1720646599
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1144437831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 STIRLING CENTER PL",
            "address_2": "SUITE 1951",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465209",
            "telephone_number": "407-333-1335",
            "fax_number": "407-333-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 STIRLING CENTER PL",
            "address_2": "SUITE 1951",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465209",
            "telephone_number": "407-333-1335",
            "fax_number": "407-333-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRALOSI",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisha Timberlake
• Jesse Wade Timmermann
• Timothy Le MD PLLC (Le Psychiatry Group)
• Mary Robin Tipton
• Victoria Tirado I
• Tirumala Pharmacy Inc (Medplex Pharmacy)
• Ava E Tisdale
• TLC Home Care Services of Central FL Inc
• Alexandra Cartaya Todd, PHARMD
• Kelly Tolle, D.C.

• Dentist in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.