NPIMap

Organization Active NPI

Timothy C Canty DDS MPH LTD

Doing business as Rollins Family Dental

  • General Practice Dentistry
  • Round Lake Beach, IL
National Provider Identifier
1306102033
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
68104874 Issued in IL
Legal business name
TIMOTHY C CANTY DDS MPH LTD
Doing business as
Rollins Family Dental
Practice address
305 E Rollins Rd
Round Lake Beach, IL 60073-1331
Phone
(847) 546-2900
Fax
(847) 546-2910
NPI assigned
Apr 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. Timothy Chase Canty, D.D.S., M.P.H.NPI 1457354870
Title
President/Owner /Doctor
Phone
(847) 740-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 68104874 IL Primary

Addresses

Primary practice location

305 E Rollins Rd
Round Lake Beach, IL 60073-1331

Mailing address

305 E Rollins Rd
Round Lake Beach, IL 60073-1331
Phone (847) 546-2900

Other names 1

  • Rollins Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1306102033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731331",
            "telephone_number": "847-546-2900",
            "fax_number": "847-546-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731331",
            "telephone_number": "847-546-2900",
            "fax_number": "847-546-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY C CANTY DDS MPH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "CANTY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CHASE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER /DOCTOR",
        "authorized_official_telephone_number": "847-740-2900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.P.H."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "68104874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rollins Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Round Lake Beach, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.