NPIMap

Organization Active NPI

Dr. Timothy H. Mihle

  • Endodontics
  • Wilmington, NC
National Provider Identifier
1508036997
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5933 Issued in NC
Legal business name
DR. TIMOTHY H. MIHLE
Practice address
1604 Physicians Dr
Suite 101
Wilmington, NC 28401-7362
Phone
(910) 343-3333
Fax
(910) 763-9476
NPI assigned
Mar 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Dr. Timothy Hall Mihle, D.D.SNPI 1508876574
Title
Owner
Phone
(910) 343-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 5933 NC Primary

Addresses

Primary practice location

1604 Physicians Dr
Suite 101
Wilmington, NC 28401-7362

Mailing address

1604 Physicians Dr
Suite 101
Wilmington, NC 28401-7362
Phone (910) 343-3333

Other identifiers 1

IdentifierTypeStateIssuer
899594BMedicaidNC

National Provider Directory

National Provider Directory

Locations

1604 Physicians Dr
Ste 101
Wilmington, NC 28401
Phone (910) 343-3333

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1508036997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 PHYSICIANS DR",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017362",
            "telephone_number": "910-343-3333",
            "fax_number": "910-763-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 PHYSICIANS DR",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017362",
            "telephone_number": "910-343-3333",
            "fax_number": "910-763-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIMOTHY H. MIHLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MIHLE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-343-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "5933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899594B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.