Organization Active NPI

Owen and Timock Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Collins, CO
National Provider Identifier
1336675784
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
10298 Issued in CO
Legal business name
OWEN AND TIMOCK ORTHODONTICS, PLLC
Practice address
3221 Eastbrook Dr
Building a Suite 103
Fort Collins, CO 80525-5708
Phone
(970) 484-4102
Fax
(970) 484-1591
NPI assigned
May 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Dr. Adam M Timock, DDS, MS
Title
Owner
Phone
(913) 568-1275

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 9259 CO
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 10298 CO Primary

Addresses

Primary practice location

3221 Eastbrook Dr
Building a Suite 103
Fort Collins, CO 80525-5708

Mailing address

3221 Eastbrook Dr
Building a Suite 103
Fort Collins, CO 80525-5708
Phone (970) 484-4102

National Provider Directory

National Provider Directory

Locations

3221 Eastbrook Dr
Ste 103
Fort Collins, CO 80525
Phone (970) 484-4102

NPI Registry JSON

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1336675784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 EASTBROOK DR",
            "address_2": "BUILDING A SUITE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255708",
            "telephone_number": "970-484-4102",
            "fax_number": "970-484-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 EASTBROOK DR",
            "address_2": "BUILDING A SUITE 103",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255708",
            "telephone_number": "970-484-4102",
            "fax_number": "970-484-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEN AND TIMOCK ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "TIMOCK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-568-1275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "9259",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "10298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.