Individual provider Active NPI

Daniel G. Timms, D.D.S.

  • General Practice Dentistry
  • Deptford, NJ
National Provider Identifier
1285885418
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10013 Issued in NJ
Practice address
1104 Cooper St
Deptford, NJ 08096-3012
Phone
(856) 845-1200
Fax
(856) 384-8308
NPI assigned
Oct 7, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10013 NJ Primary

Addresses

Primary practice location

1104 Cooper St
Deptford, NJ 08096-3012

Mailing address

1104 Cooper St
Deptford, NJ 08096-3012
Phone (856) 845-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10013NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel G. Timms DDS & Jeffrey Koslow DMD PA General Practice Past Accepting new patients
Haines Family Dental, LLC PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1285885418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 COOPER ST",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963012",
            "telephone_number": "856-845-1200",
            "fax_number": "856-384-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 COOPER ST",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963012",
            "telephone_number": "856-845-1200",
            "fax_number": "856-384-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMS",
        "first_name": "DANIEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "10013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.