Tim F. Crisp DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6359 Issued in KY

Legal business name

TIM F. CRISP DMD

Practice address

11 Canary LN
Winchester, KY 40391-1645

Phone

(859) 744-7031

Fax

(859) 744-9175

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Tim Felix Crisp, DMD

Title

Owner

Phone

(859) 744-7031

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy F. Crisp, D.M.D.

  • Pediatric Dentistry
  • Winchester, KY
  • NPI 1275671208
  NPD (past)

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1144469016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CANARY LN",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911645",
            "telephone_number": "859-744-7031",
            "fax_number": "859-744-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CANARY LN",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911645",
            "telephone_number": "859-744-7031",
            "fax_number": "859-744-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM F. CRISP DMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "CRISP",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-744-7031",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "6359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Pflaumer Timm, MA, LPCC
• Carlene Tinkler, PT
• Alisa Fay Tolle, DMD
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• Trilogy Healthcare of Winchester, LLC

• Dentist in Winchester, KY
• Providers in Winchester, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.