Organization Active NPI

Timothy R Liptak DMD & Associates LLC

  • General Practice Dentistry
  • Charleston, SC
National Provider Identifier
1275799546
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4299 Issued in SC
Legal business name
TIMOTHY R LIPTAK DMD & ASSOCIATES LLC
Practice address
114 1/2 Ashley Ave
Charleston, SC 29401-1143
Phone
(843) 577-6376
Fax
(843) 722-1653
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Timothy Robert Liptak, DMD
Title
Owner
Phone
(843) 577-6376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4299 SC Primary

Addresses

Primary practice location

114 1/2 Ashley Ave
Charleston, SC 29401-1143

Mailing address

114 1/2 Ashley Ave
Charleston, SC 29401-1143
Phone (843) 577-6376

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1275799546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 1/2 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011143",
            "telephone_number": "843-577-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 1/2 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011143",
            "telephone_number": "843-577-6376",
            "fax_number": "843-722-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY R LIPTAK DMD & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "LIPTAK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-577-6376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "4299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.