Individual provider Active NPI

Timothy William Howarth, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville, FL
National Provider Identifier
1164771341
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
22DI02515200 Issued in NJ
Practice address
2005 Knight Lane BLDG H
Navy Medicine Support Command
Jacksonville, FL 32212-0140
Phone
(904) 542-7200
NPI assigned
Sep 5, 2012
Last updated
Oct 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN122649 GA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 102021 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN122649 CO
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 22DI02515200 NJ Primary

Addresses

Primary practice location

2005 Knight Lane BLDG H
Navy Medicine Support Command
Jacksonville, FL 32212-0140

Mailing address

5 Addison Dr
Basking Ridge, NJ 07920-2201
Phone (908) 581-6504

Other practice location 1

3455 Old Alabama Rd
Johns Creek, GA 30022-5526
Phone (678) 775-1600

Other practice location 2

804 Town Blvd NE Ste A2000
Brookhaven, GA 30319-7226
Phone (404) 343-0677

Other practice location 3

4333 Palm Ave Ste C
LA Mesa, CA 91941-6529
Phone (619) 462-4462

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

State licenses

LicenseStateTypeSpecialty
102021CAMDOrthodontics and Dentofacial Orthopedic Dentist
DN122649COMDOrthodontics and Dentofacial Orthopedic Dentist
DN122649GAMDOrthodontics and Dentofacial Orthopedic Dentist
22DI02515200NJMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
United States Navy PastSince Jul 1, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1164771341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ADDISON DR",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079202201",
            "telephone_number": "908-581-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 KNIGHT LANE BLDG H",
            "address_2": "NAVY MEDICINE SUPPORT COMMAND",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "904-542-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3455 Old Alabama Rd",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300225526",
            "country_code": "US",
            "telephone_number": "678-775-1600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "804 Town Blvd NE Ste A2000",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303197226",
            "country_code": "US",
            "telephone_number": "404-343-0677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4333 Palm Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919416529",
            "country_code": "US",
            "telephone_number": "619-462-4462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARTH",
        "first_name": "TIMOTHY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "DN122649",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "102021",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "DN122649",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22DI02515200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.