Active NPI
Timothy Kingsbury, D.O.
- Family Medicine Physician
- Kittery, ME
National Provider Identifier
1720172844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1254
- Practice address
- 111 Rogers Rd
Kittery, ME 03904-1453 - Phone
- (207) 439-9924
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 1254 | ME | |
| Family Medicine Physician | 207Q00000X | 1254 | ME | Primary |
Addresses
Primary practice location
111 Rogers Rd
Kittery, ME 03904-1453
Mailing address
PO Box 189
Kittery, ME 03904-0189
Phone (207) 439-9924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30002502 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1720172844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "KITTERY",
"state": "ME",
"postal_code": "039040189",
"telephone_number": "207-439-9924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ROGERS RD",
"city": "KITTERY",
"state": "ME",
"postal_code": "039041453",
"telephone_number": "207-439-9924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINGSBURY",
"first_name": "TIMOTHY",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "ME",
"license": "1254",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ME",
"license": "1254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30002502",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kittery, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.