Organization Active NPI

Neal Timon DDS LLC

  • Dentist
  • Waianae, HI
National Provider Identifier
1780977736
Registry record updated May 24, 2011
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NEAL TIMON DDS LLC
Practice address
85-910 Farrington Hwy
Waianae, HI 96792-2651
Phone
(808) 696-7031
Fax
(808) 696-3010
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Dr. Neal J Timon, DDS
Title
Owner
Phone
(808) 696-7031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

85-910 Farrington Hwy
Waianae, HI 96792-2651

Mailing address

85-910 Farrington Hwy
Waianae, HI 96792-2651
Phone (808) 696-7031

Other identifiers 1

IdentifierTypeStateIssuer
066087-04MedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1780977736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85-910 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922651",
            "telephone_number": "808-696-7031",
            "fax_number": "808-696-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85-910 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922651",
            "telephone_number": "808-696-7031",
            "fax_number": "808-696-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL TIMON DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "TIMON",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-696-7031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066087-04",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.