Active NPI
Gerard Timmins, D.D.S, M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Monument, CO
National Provider Identifier
1366464638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 104602
- Practice address
- 325 2ND St
Monument, CO 80132-7935 - Phone
- (719) 488-2806
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 104602 | CO | Primary |
Addresses
Primary practice location
325 2ND St
Monument, CO 80132-7935
Mailing address
325 2ND St
P.O. Box 1382
Monument, CO 80132-7935
Phone (719) 488-2806
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104602 | CO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230681600000",
"number": "1366464638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 2ND ST",
"address_2": "P.O. BOX 1382",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801327935",
"telephone_number": "719-488-2806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 2ND ST",
"city": "MONUMENT",
"state": "CO",
"postal_code": "801327935",
"telephone_number": "719-488-2806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMINS",
"first_name": "GERARD",
"name_prefix": "Dr.",
"credential": "D.D.S, M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2008-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "104602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monument, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.