Timothy Allen Mathews, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1503 Issued in AK

Practice address

2270 Nistler Rd
Delta Junction, AK 99737-0985

Phone

(907) 895-4274

Fax

(907) 895-4276

NPI assigned

Jul 22, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tim Mathews DDS PLLC

  • General Practice Dentistry
  • Kalispell, MT
  • NPI 1790454445
  NPD Authorized official
• Molar Enterprise, Inc.

  dba Timbercrest Dental

  • General Practice Dentistry
  • Delta Junction, AK
  • NPI 1730490996
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1487096244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 985",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997370985",
            "telephone_number": "907-895-4274",
            "fax_number": "907-895-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 NISTLER RD",
            "city": "DELTA JUNCTION",
            "state": "AK",
            "postal_code": "997370985",
            "telephone_number": "907-895-4274",
            "fax_number": "907-895-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michele Lorenzana, FNP-BC
• Emily Jean Lugdon, FNP-C APRN
• Emily Jane Maclee
• Rosynill Marchuk
• Melitta Martin, LMT
• Jamie A McNabb, D.C.
• Devra Milligan
• Molar Enterprise, Inc. (Timbercrest Dental)
• Melisa Oaks, LMT
• Savannah Oliver, DDS

• Dentist in Delta Junction, AK
• Providers in Delta Junction, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.