Timothy John Joseph, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5077 Issued in WI

Practice address

435 E Mill St
Plymouth, WI 53073-1850

Phone

(920) 893-5131

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Joseph and Joseph Dental LLC

  • General Practice Dentistry
  • Plymouth, WI
  • NPI 1942320817
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851445969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E MILL ST",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MILL ST",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530731850",
            "telephone_number": "920-893-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R. Nass D.D.S. LLC
• Kim Kristine Jones
• Jaimee Jordan, MS, RDN, CDCES, CD
• Joseph and Joseph Dental LLC
• Sherry Joseph
• Londa Jozwowski, D.C.
• Stella D. Kaas-Lallensack, OTR
• Diane Rochelle Kaestner, PT
• Kristin Kaiser, OTR
• Andrea Kamphuis, R.N.

• General Practice Dentistry in Plymouth, WI
• Providers in Plymouth, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.