Active NPI
Timothy Charles Rothrock, D.D.S., P.A.
- General Practice Dentistry
- Springdale, AR
National Provider Identifier
1518033018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2869
- Practice address
- 1308 S Pleasant St
Springdale, AR 72764-6223 - Phone
- (479) 751-5071
- Fax
- (479) 751-7990
- NPI assigned
- Nov 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2869 | AR | Primary |
Addresses
Primary practice location
1308 S Pleasant St
Springdale, AR 72764-6223
Mailing address
1308 S Pleasant St
Springdale, AR 72764-6223
Phone (479) 751-5071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2869 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy C Rothrock, DDS, PA | 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.
-
- Dental Clinic/Center
- Springdale, AR
- NPI 1144496225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518033018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 S PLEASANT ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727646223",
"telephone_number": "479-751-5071",
"fax_number": "479-751-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 S PLEASANT ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727646223",
"telephone_number": "479-751-5071",
"fax_number": "479-751-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTHROCK",
"first_name": "TIMOTHY",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.D.S., P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "2869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.