Timothy Imafidon Jr., D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10244 Issued in NC

Practice address

300 S Center St
Goldsboro Pediatric Dentistry & Orthodontics
Goldsboro, NC 27530-4807

Phone

(919) 947-0800

NPI assigned

Aug 25, 2010

Last updated

Apr 30, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: timafidon348180@direct.unc.nchie.net

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 O Imafidon Jr DDS PA

  dba Goldsboro Pediatric Dentistry and Orthodontics

  • Dental Clinic/Center
  • Goldsboro, NC
  • NPI 1720521982
  NPD (past) Authorized official

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493510400000",
    "number": "1437465648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S CENTER ST",
            "address_2": "GOLDSBORO PEDIATRIC DENTISTRY & ORTHODONTICS",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304807",
            "telephone_number": "919-947-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S CENTER ST",
            "address_2": "GOLDSBORO PEDIATRIC DENTISTRY & ORTHODONTICS",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275304807",
            "telephone_number": "919-947-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMAFIDON",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2017-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401413568",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "10244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia D Hussey, M.D., P.A.
• HV Murray III DDS PA
• Jackson Mark Hylton Jr., MD
• Nathaline Ignacio, LPCA
• Christine Kabanga Ilunga, M.D.
• Immediate Care of Goldsboro, PLLC
• Impact Home Care Solutions, LLC
• Jennifer Asheton Ingersoll, M.D.
• Inner Healing Ministry
• Integrated Programs and Services, Inc.

• Pediatric Dentistry in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; 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.