Timothy Stephan Tweedy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5271 Issued in WI

Practice address

113 E Bell St
Neenah, WI 54956-4993

Phone

(920) 725-8505

Fax

(920) 725-8569

NPI assigned

Mar 25, 2007

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 18, 2019 through Mar 18, 2027

Medicare enrollment (NPD)

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.

• Dentistry by Design

  • Dentist
  • Neenah, WI
  • NPI 1518976356
  NPD (past) Authorized official

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215054036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E BELL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564993",
            "telephone_number": "920-725-8505",
            "fax_number": "920-725-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E BELL ST",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549564993",
            "telephone_number": "920-725-8505",
            "fax_number": "920-725-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TWEEDY",
        "first_name": "TIMOTHY",
        "middle_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kaye Trickey, LPC
• Stephanie Tsoris
• Laura A Tucker, NP
• Turning the Paige Therapy, LLC
• Tiffany Jean Tweedy, DDS
• Kristine Anne Twomey, APNP
• Venkata Udayagiri
• Cari Ullrich, MD
• Eric Ulwelling
• Mikayla Marie Unger, APNP

• General Practice Dentistry in Neenah, WI
• Providers in Neenah, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.