Timothy Gordon Case, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

MO14638 Issued in MO

Practice address

4300 Holly Hills Blvd
Saint Louis, MO 63116-2253

Phone

(314) 351-5555

Fax

(314) 351-5257

NPI assigned

Apr 4, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Timorhy G. Case

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1902090277
  NPD (past) Authorized official
• Timothy G Case DMD LLC

  • Dentist
  • Saint Louis, MO
  • NPI 1841742335
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760504443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HOLLY HILLS BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162253",
            "telephone_number": "314-351-5555",
            "fax_number": "314-351-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HOLLY HILLS BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162253",
            "telephone_number": "314-351-5555",
            "fax_number": "314-351-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "TIMOTHY",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "MO14638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dylan Paul Casas, NREMT
• Aaron Case, M.D
• Adam Ryan Case, FNP- BC
• Beatrice Case
• Robert Alexander Case Jr., MD
• Kamela Casey-Baggette, AGNP
• Adrienne Leigh Casey, LCSW
• Angie Casey, LPC
• Autumn Lane Casey, M.ED., BCBA, LBA
• Deborah Casey

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.