Active NPI
Timothy Chase Canty, DDS, MPH, MAGD
- General Practice Dentistry
- Reynoldsburg, OH
National Provider Identifier
1457354870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.023585
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DENT1384 | AK | MD | General Practice Dentistry |
| 19-15320 | IL | MD | General Practice Dentistry |
| 30.023585 | OH | MD | General Practice Dentistry |
| 26430 | TX | MD | General Practice Dentistry |
| 1002349-15 | WI | MD | General 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.