Active NPI
Timothy Scott Albright, D.D.S
- Oral and Maxillofacial Surgery (Dentist)
- Iowa City, IA
National Provider Identifier
1528421237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DDS-09727
- Practice address
- 2814 Northgate Dr Ste 2
Iowa City, IA 52245-9513 - Phone
- (319) 338-5484
- NPI assigned
- Mar 30, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DDS-09727 | IA | Primary |
Addresses
Primary practice location
2814 Northgate Dr Ste 2
Iowa City, IA 52245-9513
Mailing address
2814 Northgate Dr Ste 2
Iowa City, IA 52245-9513
Phone (319) 338-5484
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 996-7555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 1, 2022 through Dec 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1528421237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 NORTHGATE DR STE 2",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522459513",
"telephone_number": "319-338-5484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 NORTHGATE DR STE 2",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522459513",
"telephone_number": "319-338-5484"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "312-996-7555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBRIGHT",
"first_name": "TIMOTHY",
"middle_name": "SCOTT",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IA",
"license": "DDS-09727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.