Timothy Restrepo I, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0455441 Issued in NY

Practice address

5501 Bartel Rd
Brewerton, NY 13029-8701

Phone

(716) 804-1591

NPI assigned

Apr 10, 2014

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Timothy Restrepo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Timothy Okeefe MD PC

  • Dental Clinic/Center
  • Brewerton, NY
  • NPI 1730947813
  NPD Authorized official

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1679992283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 BARTEL RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298701",
            "telephone_number": "716-804-1591",
            "fax_number": "716-804-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BARTEL RD",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130298701",
            "telephone_number": "716-804-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTREPO",
        "first_name": "TIMOTHY",
        "name_suffix": "I",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "0455441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIMOTHY",
            "last_name": "RESTREPO",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Deborah Marie Napelitano, LPN
• New Concept Medical Care
• Ryan Norton
• Linda L Oconnor, RN
• Robert N. Orcutt
• Stefanie Michelle Rienhardt, FNP-C
• Lisa Erika Roszyk, C.M.T
• Stephanie Sessa, RPH
• Cicero Stroman Sr.
• Mary Anne Jessica Taylor-Lamb, DC

• Oral and Maxillofacial Surgery (Dentist) in Brewerton, NY
• Providers in Brewerton, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.