Organization Active NPI

Timothy H. Sinner DDS PC

  • General Practice Dentistry
  • Jamestown, ND
National Provider Identifier
1457693137
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
ND1690 Issued in ND
Legal business name
TIMOTHY H. SINNER DDS PC
Practice address
1209 5TH Ave SE
Suite 6
Jamestown, ND 58401-5601
Phone
(701) 252-6005
Fax
(701) 251-9188
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Timothy H. Sinner, DDS
Title
Chairman
Phone
(701) 252-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X ND1690 ND Primary

Addresses

Primary practice location

1209 5TH Ave SE
Suite 6
Jamestown, ND 58401-5601

Mailing address

1209 5TH Ave SE
Suite 6
Jamestown, ND 58401-5601
Phone (701) 252-6005

Other identifiers 1

IdentifierTypeStateIssuer
40099MedicaidND

National Provider Directory

National Provider Directory
Tax ID family
East Lake Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1457693137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 5TH AVE SE",
            "address_2": "SUITE 6",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015601",
            "telephone_number": "701-252-6005",
            "fax_number": "701-251-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 5TH AVE SE",
            "address_2": "SUITE 6",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584015601",
            "telephone_number": "701-252-6005",
            "fax_number": "701-251-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY H. SINNER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "SINNER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "701-252-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ND",
            "license": "ND1690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40099",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.