Active NPI
Timothy R Liptak DMD & Associates LLC
- General Practice Dentistry
- Charleston, SC
National Provider Identifier
1275799546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4299
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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.