Individual provider Active NPI

Timothy D Stirneman, DDS

  • Dentist
  • Lake in the Hills, IL
National Provider Identifier
1417153107
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Practice address
261 N Randall Rd
Suite #102
Lake in the Hills, IL 60156-5999
Phone
(847) 915-3080
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X IL Primary

Addresses

Primary practice location

261 N Randall Rd
Suite #102
Lake in the Hills, IL 60156-5999

Mailing address

261 N Randall Rd
Suite #102
Lake in the Hills, IL 60156-5999
Phone (847) 915-3080

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
019022088ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Better Illinois LLC Dentist CurrentSince Apr 1, 2017 Accepting new patients
Compassionate Dentalcare LLC Current Accepting new patients
Sleep Better Now Inc Dentist PastSince Sep 1, 2015 Accepting new patients

Locations

261 N Randall Rd
Ste 103
Lake in the Hills, IL 60156
Phone (847) 558-2224

261 N Randall Rd
Ste 102
Lake in the Hills, IL 60156
Phone (847) 915-3080

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1417153107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N RANDALL RD",
            "address_2": "SUITE #102",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565999",
            "telephone_number": "847-915-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N RANDALL RD",
            "address_2": "SUITE #102",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601565999",
            "telephone_number": "847-915-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIRNEMAN",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.