Timothy Jay Bussick DDS, Ms, Incorporated

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

12009656 Issued in IN

Legal business name

TIMOTHY JAY BUSSICK DDS, MS, INCORPORATED

Practice address

7207 Engle Rd
Fort Wayne, IN 46804-2231

Phone

(260) 436-2255

Fax

(260) 432-5466

NPI assigned

Oct 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Timothy Jay Bussick, DDS, MSNPI 1518131200

Title

President/Ceo

Phone

(260) 436-2255

Specialties & licenses 1

Addresses

Other names 1

• Bussick Orthodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Jay Bussick, D.D.S; M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Wayne, IN
  • NPI 1518131200
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1255427480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042231",
            "telephone_number": "260-436-2255",
            "fax_number": "260-432-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 ENGLE RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042231",
            "telephone_number": "260-436-2255",
            "fax_number": "260-432-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY JAY BUSSICK DDS, MS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "BUSSICK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "260-436-2255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12009656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bussick Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timbrook Psychological Services
• Kelly Marie Timbrook, NP
• Rodney E Timbrook, PH.D.
• Jason Timmer, CPO
• Angie Timmons, COTA
• Timothy L. Johnson Academy
• Kayla Tin
• Tina Huffman Counseling Services LLC
• Catherine Tinkler, ATC/L
• Elizabeth Tinnel

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.