Active NPI
Timothy A Nordloff, MD, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Salinas, CA
National Provider Identifier
1710117221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 107661
- Practice address
- 546 Abbott St
Salinas, CA 93901-4326 - Phone
- (831) 247-3934
- Fax
- (831) 783-1219
- NPI assigned
- Jul 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | A184371 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 107661 | CA | Primary |
Addresses
Primary practice location
546 Abbott St
Salinas, CA 93901-4326
Mailing address
9391 Holt Rd
Carmel, CA 93923-8577
Phone (408) 655-8069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A184371 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Current | Accepting new patients | |
| Swope Health Services | Single Specialty | Current | Accepting new patients |
Locations
17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130
Phone (816) 599-5500
Interoperability endpoints
- tnordloff27190@direct.svmh.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1689760076
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1285404434
-
dba Swope Health South
- Federally Qualified Health Center (FQHC)
- Kansas City, MO
- NPI 1396045423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678665600000",
"number": "1710117221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9391 HOLT RD",
"city": "CARMEL",
"state": "CA",
"postal_code": "939238577",
"telephone_number": "408-655-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 ABBOTT ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014326",
"telephone_number": "831-247-3934",
"fax_number": "831-783-1219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORDLOFF",
"first_name": "TIMOTHY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD, DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-17",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "A184371",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "107661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.