Timothy Michael Donohue, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

013437 Issued in MI

Practice address

323 West Maple Street
Carson City, MI 48811-0848

Phone

(989) 584-3171

Fax

(989) 584-3013

NPI assigned

Dec 6, 2006

Last updated

Mar 7, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Donohue and Donohue PC

  • General Practice Dentistry
  • Carson City, MI
  • NPI 1205163284
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1720147051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848",
            "address_2": "323 WEST MAPLE STREET",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488110848",
            "telephone_number": "989-584-3171",
            "fax_number": "989-584-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 WEST MAPLE STREET",
            "city": "CARSON CITY",
            "state": "MI",
            "postal_code": "488110848",
            "telephone_number": "989-584-3171",
            "fax_number": "989-584-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "013437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4550376",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L De Fluiter, CRNA
• Kelsey Dennis, PT, DPT, ATC
• Donohue and Donohue PC
• Kelly Marie Donohue, D.D.S.
• Terry James Donohue, DDS
• Vincent J Dube, MD
• Andrea Chelene Edgar, FNP-C
• Edward W. Sparrow Hospital Association (University of Michigan Health-Sparrow Carson Pharmacy Plus)
• Lisa L Ferguson, FNP-BC
• Seth Thomas Ferguson, DO

• Dentist in Carson City, MI
• Providers in Carson City, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.