Individual provider Active NPI

Timothy Chase Canty, DDS, MPH, MAGD

  • General Practice Dentistry
  • Reynoldsburg, OH
National Provider Identifier
1457354870
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.023585 Issued in OH
Practice address
8086 E Broad St
Reynoldsburg, OH 43068-8024
Phone
(847) 740-2900
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26430 TX
General Practice Dentistry 1223G0001X 19-15320 IL
General Practice Dentistry 1223G0001X DENT1384 AK
General Practice Dentistry 1223G0001X 30.023585 OH Primary
General Practice Dentistry 1223G0001X 1002349-15 WI

Addresses

Primary practice location

8086 E Broad St
Reynoldsburg, OH 43068-8024

Mailing address

2868 Stelzer Rd Unit 301
Columbus, OH 43219-3133
Phone (184) 774-0290

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eastbroadfamilydentistry.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DENT1384AKMDGeneral Practice Dentistry
19-15320ILMDGeneral Practice Dentistry
30.023585OHMDGeneral Practice Dentistry
26430TXMDGeneral Practice Dentistry
1002349-15WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457354870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 STELZER RD UNIT 301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193133",
            "telephone_number": "184-774-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8086 E BROAD ST",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688024",
            "telephone_number": "847-740-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTY",
        "first_name": "TIMOTHY",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH, MAGD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26430",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19-15320",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "DENT1384",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023585",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002349-15",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eastbroadfamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "Dental Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Accepting New Patients",
            "address_1": "8086 E Broad St",
            "city": "Reynoldsburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430688024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.