Timothy Prewitt DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TIMOTHY PREWITT DDS INC

Practice address

37144 Avenue 12 Ste 104
Madera, CA 93636-8709

Phone

(559) 645-5320

NPI assigned

Mar 5, 2024

Organization subpart

No

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

Authorized official

Name

Timothy Edward Prewitt, DDSNPI 1043737877

Title

Ceo

Phone

(559) 960-4878

Specialties & licenses 1

Addresses

Other names 1

• Prewitt Dental Ranchos Doing business as

Locations

Practitioners 4

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

• Timothy Edward Prewitt, DDS

  • Dentist
  • Sanger, CA
  • NPI 1043737877
  NPD Authorized official
• Paul Phandl

  • Dentist
  • Palo Alto, CA
  • NPI 1699556563
  NPD (past)
• Matthew Edward Pia, D.D.S.

  • Dentist
  • Madera, CA
  • NPI 1124010046
  NPD (past)
• Randall Eugene Prewitt, DDS

  • General Practice Dentistry
  • Sanger, CA
  • NPI 1942334313
  NPD (past)

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1609633684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 7TH ST",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936572801",
            "telephone_number": "559-875-3927",
            "fax_number": "559-875-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37144 AVENUE 12 STE 104",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368709",
            "telephone_number": "559-645-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY PREWITT DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "PREWITT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-960-4878",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prewitt Dental Ranchos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thrifty Payless Inc
• Ashley G Tian, M.D.
• Laslie Marie Tidd, RNFA
• Tim G Peffly DDS Inc
• Jeff Timberman, DO
• Larry Tinsley VIII, MD
• Amber Tinzly
• Derek S Tipton
• Ruetima Titapiwatanakun, M.D.
• Kevin Tiyaamornwong, PA-C

• General Practice Dentistry in Madera, CA
• Providers in Madera, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.