Timothy Lewis Nibert, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30-01-8394 Issued in OH

Practice address

5040 Palmetto St
Suite a
Columbus, OH 43228-1718

Phone

(614) 878-7733

Fax

(614) 870-2510

NPI assigned

Dec 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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.

• Ismile Dental Group West

  • Dental Clinic/Center
  • Columbus, OH
  • NPI 1841151859
  NPD (past)

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184786881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 PALMETTO ST",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281718",
            "telephone_number": "614-878-7733",
            "fax_number": "614-870-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 PALMETTO ST",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281718",
            "telephone_number": "614-878-7733",
            "fax_number": "614-870-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIBERT",
        "first_name": "TIMOTHY",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-01-8394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinh-Truyen Nguyen, MD
• Xuan Viet Nguyen, MD, PHD
• Zachary C Nguyen, MD
• Mickey Ni
• Maryam Niazi, PMHNP-BC
• Constance Allyson Nicastro-Bowman, CNP
• Rachel Kathryn Nicelley
• Amy Nicely, LISW
• Bruce Edward Nicely, NCSP
• Charles J Nicely, MD

• Dentist in Columbus, OH
• Providers in Columbus, OH by specialty
• Dentist in Ohio

• 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.