Organization Active NPI

Dr. Timothy J Gearin Jr

  • General Practice Dentistry
  • Chicopee, MA
National Provider Identifier
1154593242
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17255 Issued in MA
Legal business name
DR. TIMOTHY J GEARIN JR
Practice address
5 McCarthy Ave
Chicopee, MA 01020-4205
Phone
(413) 536-8800
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Ms. Rebecca R Before
Title
Officce Manager
Phone
(413) 536-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 17255 MA Primary

Addresses

Primary practice location

5 McCarthy Ave
Chicopee, MA 01020-4205

Mailing address

5 McCarthy Ave
Chicopee, MA 01020-4205
Phone (413) 536-8800

National Provider Directory

National Provider Directory

Locations

5 McCarthy Ave
Chicopee, MA 01020
Phone (413) 536-8800

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1154593242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MCCARTHY AVE",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010204205",
            "telephone_number": "413-536-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MCCARTHY AVE",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010204205",
            "telephone_number": "413-536-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIMOTHY J GEARIN JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "BEFORE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICCE MANAGER",
        "authorized_official_telephone_number": "413-536-8800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.