Timothy Lee Gatten, D.D.S., M.S.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D3925EN Issued in ID

Practice address

602 N. Calgary CT.
Suite 301
Post Falls, ID 83854

Phone

(208) 262-2620

NPI assigned

Mar 23, 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

Medicare enrollment (NPD)

Not 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.

• Aes Post Falls

  • Endodontics
  • Post Falls, ID
  • NPI 1225298656
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255458154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3027 N RADIANT STAR RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545099",
            "telephone_number": "208-262-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N. CALGARY CT.",
            "address_2": "SUITE 301",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-262-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATTEN",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "ID",
            "license": "D3925EN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Garff, LCPC, CMHC
• Bryan Robert Garner, DPT
• Haiden Garrett
• Aubrey Gass, LMT
• Dustin Lee Gatten, D.D.S., M.S.D.
• Natalie Ann Gauche, DPT6
• Jeremy J. Gauruder, D.C.
• Jacob Ronald Gaustad, RN
• Jacqueline Gedeik, LCPC
• Travis A Geib, LCSW

• Endodontics in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Endodontics in Idaho

• 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.