Timothy Paul Garner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5895 Issued in NE

Practice address

424 Grand Ave
Burwell, NE 68823-4152

Phone

(308) 346-4988

Fax

(308) 346-9103

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in NE

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Community Memorial Hospital, Inc.

  dba Community Memorial Health Center

  • Skilled Nursing Facility
  • Burwell, NE
  • NPI 1063403053

  Corporate Director

  CMS ownership

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.

• Burwell Dental Clinic, P.C.

  • General Practice Dentistry
  • Burwell, NE
  • NPI 1609157999
  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235296989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "BURWELL",
            "state": "NE",
            "postal_code": "688230369",
            "telephone_number": "308-346-4988",
            "fax_number": "308-346-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 GRAND AVE",
            "city": "BURWELL",
            "state": "NE",
            "postal_code": "688234152",
            "telephone_number": "308-346-4988",
            "fax_number": "308-346-9103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "TIMOTHY",
        "middle_name": "PAUL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "5895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Christina Chaffin, DC
• Allison Chelewski, DPT
• Community Memorial Hospital, Inc. (Community Memorial Health Center)
• Marie Ernesti, DC
• Valerie Galvan
• Lesa Dianne Gideon, RN
• Sara Gideon, DH
• Hugh Ralph Holmquist, MD
• Randi Jensen
• Steven Dean Johnson

• Dentist in Burwell, NE
• Providers in Burwell, NE by specialty
• Dentist in Nebraska

• 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; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.