Individual provider Active NPI

Timothy Charles Visger

  • Dentist
  • Dennison, OH
National Provider Identifier
1467008979
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025951 Issued in OH
Practice address
401 Grant St
Dennison, OH 44621-1219
Phone
(740) 922-2846
Fax
(740) 264-6812
NPI assigned
Aug 12, 2019
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.025951 OH Primary

Addresses

Primary practice location

401 Grant St
Dennison, OH 44621-1219

Mailing address

401 Grant St
Dennison, OH 44621-1219
Phone (740) 922-2846

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Dental Care of Dennison PastSince Aug 18, 2019 Accepting new patients
Professional Dental Alliance of Dennison, LLC Dentist PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1467008979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GRANT ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211219",
            "telephone_number": "740-922-2846",
            "fax_number": "740-264-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GRANT ST",
            "city": "DENNISON",
            "state": "OH",
            "postal_code": "446211219",
            "telephone_number": "740-922-2846",
            "fax_number": "740-264-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISGER",
        "first_name": "TIMOTHY",
        "middle_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dennison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.