Timothy J. Iten, D.D.S., Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TIMOTHY J. ITEN, D.D.S., INC.

Practice address

245 Sterkel Blvd
Suite 101
Mansfield, OH 44907-1507

Phone

(419) 522-5437

Fax

(419) 522-1631

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Timothy James Iten, D.D.S.

Title

Owner

Phone

(419) 522-5437

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Ann Gregg, DDS

  • Pediatric Dentistry
  • Mansfield, OH
  • NPI 1811106909
  NPD (past)
• Lindsey Grace Jones, DDS

  • Pediatric Dentistry
  • Mansfield, OH
  • NPI 1124767454
  NPD (past)

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1437464849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STERKEL BLVD",
            "address_2": "SUITE 101",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071507",
            "telephone_number": "419-522-5437",
            "fax_number": "419-522-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 STERKEL BLVD",
            "address_2": "SUITE 101",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071507",
            "telephone_number": "419-522-5437",
            "fax_number": "419-522-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. ITEN, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "ITEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-522-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kieyra Irene Thrush, CNP
• Ashley Thull, PRS, QBHS, CDCA
• Rachel Marie Thurman
• Christ John Ticoras, M.D.
• Danielle M. Timmons
• Timothy Sesco D.C. Inc.
• Sandra Tipton
• Tabitha Lynn Tipton
• Teresa Elaine Titko, BSN, RN
• Denise Kay Todd, INDEPENDENT PROVIDER

• Pediatric Dentistry in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.