Timothy Tanty

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5881 Issued in WI

Practice address

N80W17707 Custer LN
Menomonee Falls, WI 53051-3630

Phone

(262) 255-2727

Fax

(262) 255-3903

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deerwood Orthodontics, LLC

  dba Deerwood Orthodontics Menomonee Falls

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Menomonee Falls, WI
  • NPI 1720118987
  NPD (past)
• Wisconsin Dental Group, S.C.

  dba ForwardDental Menomonee Falls

  • Pediatric Dentistry
  • Menomonee Falls, WI
  • NPI 1578693149
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679630081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N80W17707 CUSTER LN",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513630",
            "telephone_number": "262-255-2727",
            "fax_number": "262-255-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N80W17707 CUSTER LN",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513630",
            "telephone_number": "262-255-2727",
            "fax_number": "262-255-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTY",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ammar Taha, M.D.
• Jennifer J Taliaferro, DPT
• Christopher John Tamsen, D.D.S.
• Andrew C. Tang, PHARM. D.
• Jade Tanjung
• Jessica Taylor, LPC, CSAC
• Karolyn Tara Taylor
• Lauren Taylor, PA
• Team Rehabilitation Services, LLC
• Susan M Tefft, OT

• General Practice Dentistry in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.