Organization Active NPI

Timothy G Case DMD LLC

  • Dentist
  • Saint Louis, MO
National Provider Identifier
1841742335
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TIMOTHY G CASE DMD LLC
Practice address
4300 Holly Hills Blvd
Saint Louis, MO 63116-2253
Phone
(314) 351-5555
NPI assigned
Oct 31, 2016
Last updated
Oct 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Tim Case, DMD
Title
Owner
Phone
(314) 351-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4300 Holly Hills Blvd
Saint Louis, MO 63116-2253

Mailing address

4300 Holly Hills Blvd
Saint Louis, MO 63116-2253
Phone (314) 351-5555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1841742335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HOLLY HILLS BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162253",
            "telephone_number": "314-351-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HOLLY HILLS BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631162253",
            "telephone_number": "314-351-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY G CASE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "CASE",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-351-5555",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.