NPIMap

Organization Active NPI

Tim Mathews DDS PLLC

  • General Practice Dentistry
  • Kalispell, MT
National Provider Identifier
1790454445
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TIM MATHEWS DDS PLLC
Practice address
195 Commons Loop Ste a
Kalispell, MT 59901-1912
Phone
(406) 755-5280
NPI assigned
Sep 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Authorized official

Name
Dr. Timothy Allen Mathews, DDSNPI 1487096244
Title
Owner
Phone
(423) 620-2572

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

195 Commons Loop Ste a
Kalispell, MT 59901-1912

Mailing address

195 Commons Loop Ste a
Kalispell, MT 59901-1912
Phone (406) 755-5280

National Provider Directory

National Provider Directory

Locations

195 Commons Loop
Ste A
Kalispell, MT 59901
Phone (406) 755-5280

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1790454445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COMMONS LOOP STE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011912",
            "telephone_number": "406-755-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COMMONS LOOP STE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011912",
            "telephone_number": "406-755-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM MATHEWS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "MATHEWS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-620-2572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.