Timothy Phillips, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.025077 Issued in OH

Practice address

115 Bank St
Lodi, OH 44254-1001

Phone

(330) 948-1243

Fax

(330) 948-4706

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Timothy M Phillips DDS Inc

  • Dentist
  • Lodi, OH
  • NPI 1245721356
  NPD (past) Authorized official
• John I Meilinger DDS Inc

  • General Practice Dentistry
  • Lodi, OH
  • NPI 1518070390
  NPD (past)

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1356878110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BANK ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541001",
            "telephone_number": "330-948-1243",
            "fax_number": "330-948-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BANK ST",
            "city": "LODI",
            "state": "OH",
            "postal_code": "442541001",
            "telephone_number": "330-948-1243",
            "fax_number": "330-948-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Paoletta, PT
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• Kim Petrocci, M.ED
• Kristen Pitsenbarger, OTD, OTR/L
• Lauren Michelle Polacek
• Patty Preston, CDCA
• Brittny Queden, NP-C
• Radiology and Imaging Services, Inc

• Dentist in Lodi, OH
• Providers in Lodi, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.