Timothy Cargle Jr.

Primary specialty

SpecialistTaxonomy code 174400000X

License

20190020 Issued in OH

Practice address

3080 Ackerman Blvd Ste 220
Dayton, OH 45429-3658

Phone

(937) 723-7759

NPI assigned

Dec 30, 2019

Last updated

Dec 30, 2019By 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

Other names 1

• Mr. Tim Cargle Jr. Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1376182972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 ACKERMAN BLVD STE 220",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454293658",
            "telephone_number": "937-723-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 ACKERMAN BLVD STE 220",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454293658",
            "telephone_number": "937-723-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGLE",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "20190020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcargle@skinandscalprestoration.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3080 Ackerman Blvd Ste 220",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454293658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIM",
            "last_name": "CARGLE",
            "prefix": "MR.",
            "suffix": "JR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Specialist in Dayton, OH
• Providers in Dayton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.