Organization Active NPI

Trent J Timson DPM

  • Podiatrist
  • McPherson, KS
National Provider Identifier
1477733889
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1200301 Issued in KS
Legal business name
TRENT J TIMSON DPM
Practice address
316 W 4TH St
McPherson, KS 67460-2301
Phone
(620) 241-3313
Fax
(620) 241-6967
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Trent J Timson, D.P.M.
Title
Owenr
Phone
(620) 241-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 1200301 KS Primary

Addresses

Primary practice location

316 W 4TH St
McPherson, KS 67460-2301

Mailing address

316 W 4TH St
McPherson, KS 67460-2301
Phone (620) 241-3313

Other identifiers 1

IdentifierTypeStateIssuer
5067668OtherKSAETNA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1477733889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W 4TH ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602301",
            "telephone_number": "620-241-3313",
            "fax_number": "620-241-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W 4TH ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602301",
            "telephone_number": "620-241-3313",
            "fax_number": "620-241-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRENT J TIMSON DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TIMSON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWENR",
        "authorized_official_telephone_number": "620-241-3313",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "1200301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5067668",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.