Active NPI
Timothy Walter Kaufmann, D.D.S.
- General Practice Dentistry
- Sheboygan, WI
National Provider Identifier
1184844821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5809-015
- Practice address
- 2819 N 8TH St
Sheboygan, WI 53083-4118 - Phone
- (920) 458-3455
- Fax
- (920) 208-4730
- NPI assigned
- Apr 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5809-015 | WI | Primary |
Addresses
Primary practice location
2819 N 8TH St
Sheboygan, WI 53083-4118
Mailing address
W1914 Fairfield LN
Sheboygan, WI 53083-3204
Phone (920) 467-1485
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5809-015 | WI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184844821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W1914 FAIRFIELD LN",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530833204",
"telephone_number": "920-467-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2819 N 8TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530834118",
"telephone_number": "920-458-3455",
"fax_number": "920-208-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMANN",
"first_name": "TIMOTHY",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "5809-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- 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.