Timothy Kitley DMD PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TIMOTHY KITLEY DMD PC

Doing business as

Kids Rock Pediatric Dentistry

Practice address

700 E Ogden Ave Ste 110
Westmont, IL 60559-1283

Phone

(630) 986-1234

NPI assigned

Oct 8, 2024

Last updated

Oct 8, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Kitley, DMDNPI 1124213517

Title

Owner

Phone

(412) 736-9964

Specialties & licenses 1

Addresses

Other names 1

• KIDS ROCK PEDIATRIC DENTISTRY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy A Kitley, DMD

  • Pediatric Dentistry
  • Westmont, IL
  • NPI 1124213517
  NPD Authorized official

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1770302564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 110",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 110",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591283",
            "telephone_number": "630-986-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY KITLEY DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "KITLEY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-736-9964",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIDS ROCK PEDIATRIC DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frederika Colleen Theus, PSY.D.
• Sarah Elisabeth Thom
• Ariel Thompson
• Lois E Thompson, MSPT
• Kendyl Thorsness
• Zachery Tomanovich, PT,DPT
• Ton Shen Health
• Ton Shen Health, Inc.
• Jennifer Toone
• Maya Topps

• Pediatric Dentistry in Westmont, IL
• Providers in Westmont, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.