Active NPI
Timothy B.Dotson D.D.S., PC
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1447544754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
- Last updated
- Jun 3, 2011
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Chicago, IL
- NPI 1669692505
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.