Active NPI
Timothy H. Sinner DDS PC
- General Practice Dentistry
- Jamestown, ND
National Provider Identifier
1457693137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- ND1690
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40099 | Medicaid | ND |
National Provider Directory
National Provider Directory- Tax ID family
- East Lake Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Dallas, TX
- NPI 1477742666
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.