Timothy M Greer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010737A Issued in IN

Practice address

7517 Beechwood Centre Rd
Suite 100
Avon, IN 46123-7852

Phone

(317) 272-8100

Fax

(317) 272-0276

NPI assigned

Jan 17, 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

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.

• Avon Dental Centre

  • Dentist
  • Avon, IN
  • NPI 1295912087
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174675482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 KEMP CT",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461238121",
            "telephone_number": "317-496-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7517 BEECHWOOD CENTRE RD",
            "address_2": "SUITE 100",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237852",
            "telephone_number": "317-272-8100",
            "fax_number": "317-272-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010737A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla J Gowan, NP
• Tess Marie Graham, PT, DPT, ATC
• Kimberly Green
• Shanaya E Green
• Heather M Greenwell, MSW, LCSW
• Amanda Christine Gregory, RN
• Kathy Gretton, FNP
• Melissa Grimes, FNP
• Daniel Paul Grinberg, LMSW, LCSW
• Amanda Melissa Gripe, M.D.

• General Practice Dentistry in Avon, IN
• Providers in Avon, IN by specialty
• General Practice Dentistry in Indiana

• 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.