Active NPI
Timothy Ye, DMD
- Dentist
- Crestview, FL
National Provider Identifier
1730071226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN30859
- Practice address
- 2670 S Ferdon Blvd Ste 108
Crestview, FL 32536-5481 - Phone
- (850) 634-0748
- NPI assigned
- Jul 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN30859 | FL | Primary |
Addresses
Primary practice location
2670 S Ferdon Blvd Ste 108
Crestview, FL 32536-5481
Mailing address
708 Vineland Rd
Winter Garden, FL 34787-3937
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN30859 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nathaniel Durtschi DMD PA | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1730071226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 VINELAND RD",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347873937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 S FERDON BLVD STE 108",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325365481",
"telephone_number": "850-634-0748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YE",
"first_name": "TIMOTHY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-17",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN30859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.