Organization Active NPI

Timothy B.Dotson D.D.S., PC

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1447544754
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TIMOTHY B.DOTSON D.D.S., PC
Practice address
2155 W Roscoe St Ste 1N
Chicago, IL 60618-6261
Phone
(773) 528-3384
Fax
(773) 528-3604
NPI assigned
Jun 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Authorized official

Name
Dr. Timothy B. Dotson, D.D.S.
Title
Owner/Dentist
Phone
(773) 528-3384

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2155 W Roscoe St Ste 1N
Chicago, IL 60618-6261

Mailing address

2155 West Roscoe Street, 1N
Chicago, IL 60618
Phone (773) 528-3384

National Provider Directory

National Provider Directory

Locations

2155 W Roscoe St
Ste 1N
Chicago, IL 60618
Phone (773) 528-3384

NPI Registry JSON

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307059200000",
    "number": "1447544754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 WEST ROSCOE STREET, 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60618",
            "telephone_number": "773-528-3384",
            "fax_number": "773-528-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W ROSCOE ST STE 1N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186261",
            "telephone_number": "773-528-3384",
            "fax_number": "773-528-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY B.DOTSON D.D.S., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2011-06-03",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "773-528-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.