NPIMap

Individual provider Active NPI

Timothy J Dalton, MD

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1811950694
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20868 Issued in NE
Practice address
1101 S 70TH St
Suite 101
Lincoln, NE 68510-4293
Phone
(402) 488-1400
Fax
(402) 488-3879
NPI assigned
Apr 11, 2006
Last updated
May 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20868 NE Primary

Addresses

Primary practice location

1101 S 70TH St
Suite 101
Lincoln, NE 68510-4293

Mailing address

1101 S 70TH St
Suite 101
Lincoln, NE 68510-4293
Phone (402) 488-1400

Other identifiers 2

IdentifierTypeStateIssuer
47055301100MedicaidNE
P00212360OtherNERAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.dalton@lfw.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000541 NE Practitioner - Family Practice 4183673809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Family Wellness P CGroup PAC ID 6901934835, 8 clinicians

Practice addresses (Care Compare)

1101 S 70TH St
Lincoln, NE 68510-4293
Phone (402) 488-1400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20868NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Terrace L.P. Past Accepting new patients
Lincoln Medical Education Partnership Family Medicine Past Accepting new patients
Urgent Care Clinic of Lincoln, P.C. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: timothy.dalton@lfw.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1811950694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 70TH ST",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-488-1400",
            "fax_number": "402-488-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 70TH ST",
            "address_2": "SUITE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-488-1400",
            "fax_number": "402-488-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "20868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055301100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00212360",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.dalton@lfw.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1101 S 70th St",
            "address_2": "Suite 101",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685104293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.