Timber Creek Dental & Orthodontics

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19907 Issued in TX

Legal business name

TIMBER CREEK DENTAL & ORTHODONTICS

Doing business as

Timber Creek Dental

Practice address

12650 N Beach St
Suite 100
Fort Worth, TX 76244-4243

Phone

(817) 562-3292

Fax

(817) 337-9375

NPI assigned

Apr 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Casey, DDSNPI 1295981892

Title

Dentist/Owner

Phone

(817) 562-3292

Specialties & licenses 1

Addresses

Other names 1

• Timber Creek Dental Doing business as

Locations

Practitioners 1

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

• Timothy Sterling Casey, D.D.S.

  • Dentist
  • Fort Worth, TX
  • NPI 1295981892
  NPD (past) Authorized official

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1437684354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12650 N BEACH ST",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444243",
            "telephone_number": "817-562-3292",
            "fax_number": "817-337-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12650 N BEACH ST",
            "address_2": "SUITE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444243",
            "telephone_number": "817-562-3292",
            "fax_number": "817-337-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER CREEK DENTAL & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "817-562-3292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timber Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Kelle Tillman, APRN ACNS-BC
• Michael David Tillman, DDS
• Tricia Tillman
• Cally Lynn Tilly, LPC
• Tim P Kret OD, PA (1st Eye Care)
• Timber Creek Orthodontics, P.a.
• Timeless Care Homes LLC
• Timely Telehealth, LLC
• Benjamin James Timmer, DO
• Julie Lynn Timmerman, CRNA

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.