Individual provider Active NPI

Timothy Shelton Longest, D.D.S.

  • General Practice Dentistry
  • Oakland, MD
National Provider Identifier
1487759460
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9960 Issued in MD
Practice address
15703 Garrett Hwy
Oakland, MD 21550-4030
Phone
(301) 334-2225
Fax
(301) 334-2331
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9960 MD Primary

Addresses

Primary practice location

15703 Garrett Hwy
Oakland, MD 21550-4030

Mailing address

15703 Garrett Hwy
Oakland, MD 21550-4030
Phone (301) 334-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141224000833 MD Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567785579

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Yant, D.D.S., P.a. General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487759460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15703 GARRETT HWY",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504030",
            "telephone_number": "301-334-2225",
            "fax_number": "301-334-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15703 GARRETT HWY",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504030",
            "telephone_number": "301-334-2225",
            "fax_number": "301-334-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGEST",
        "first_name": "TIMOTHY",
        "middle_name": "SHELTON",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "9960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.