Adam C Timm, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

2022021515 Issued in MO

Practice address

77 Westport Plaza
Saint Louis, MO 63146-3107

Phone

(314) 837-2120

Fax

(314) 838-8400

NPI assigned

Jun 14, 2022

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

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1497485296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 NUMBER FIVE GREEN DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033335",
            "telephone_number": "314-602-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WESTPORT PLAZA",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463107",
            "telephone_number": "314-837-2120",
            "fax_number": "314-838-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMM",
        "first_name": "ADAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2022021515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona Mary Tilson
• Tim Jenkins, LCSW
• Time Is Precious Home Health Care LLC
• Time of Serenity in Home Services, LLC
• Time of Serenity, LLC
• Justina Louise Timm, MSN, APRN, FNP-C
• Morgan Rose Wilt Timm, MD, PHD
• Brian Edward Timmer, PHARMD
• Sara L. Timmerman, PSY.D.
• Benjamin Harris Timmins, M.D.

• Dentist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.