Active NPI
Dennis Timperley, DDS
- Dentist
- Norfolk, NE
National Provider Identifier
1306927140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5041
- Practice address
- 1502 N 13TH St
Norfolk, NE 68701-2381 - Phone
- (402) 371-1360
- Fax
- (402) 371-1278
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5041 | NE | Primary |
Addresses
Primary practice location
1502 N 13TH St
Norfolk, NE 68701-2381
Mailing address
PO Box 1203
Norfolk, NE 68702-1203
Phone (402) 371-1360
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05428 | Other | NE | BCBS |
| 10025271500 | Medicaid | NE | |
| 01625708 | Other | NE | UNITED CONCORDIA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5041 | NE | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norfolk Dental Group LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Norfolk, NE
- NPI 1225109887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306927140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1203",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687021203",
"telephone_number": "402-371-1360",
"fax_number": "402-371-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 N 13TH ST",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687012381",
"telephone_number": "402-371-1360",
"fax_number": "402-371-1278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMPERLEY",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "5041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "05428",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025271500",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "01625708",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, NE
Sources for this page
- 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.