Active NPI
Timothy C Adams, DDS
- Dentist
- Carmel, IN
National Provider Identifier
1760601405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12008293A
- Practice address
- 1040 N Rangeline Rd Ste B
Carmel, IN 46032-1470 - Phone
- (317) 580-9222
- Fax
- (317) 580-9226
- NPI assigned
- Apr 24, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12008293A | IN | Primary |
| Dentist | 122300000X | 7690 | AZ | |
| Dentist | 122300000X | 4062 | NV |
Addresses
Primary practice location
1040 N Rangeline Rd Ste B
Carmel, IN 46032-1470
Mailing address
1040 N Rangeline Rd Ste B
Carmel, IN 46032-1470
Phone (317) 580-9222
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7690 | AZ | MD | Dentist |
| 12008293A | IN | MD | Dentist |
| 4062 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1760601405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 N RANGELINE RD STE B",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321470",
"telephone_number": "317-580-9222",
"fax_number": "317-580-9226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 N RANGELINE RD STE B",
"city": "CARMEL",
"state": "IN",
"postal_code": "460321470",
"telephone_number": "317-580-9222",
"fax_number": "317-580-9226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "TIMOTHY",
"middle_name": "C",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12008293A",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "7690",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "4062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.