Organization Active NPI

Dr. Timothy M. Rector DDS PA

  • General Practice Dentistry
  • West Jefferson, NC
National Provider Identifier
1851562037
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5947 Issued in NC
Legal business name
DR. TIMOTHY M. RECTOR DDS PA
Practice address
#3 State Street
West Jefferson, NC 28694-1833
Phone
(336) 246-4151
Fax
(336) 846-2463
NPI assigned
Mar 17, 2008
Last updated
Mar 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Authorized official

Name
Dr. Timothy M Rector, DDS
Title
PA
Phone
(336) 246-4151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5947 NC Primary

Addresses

Primary practice location

#3 State Street
West Jefferson, NC 28694-1833

Mailing address

PO Box 1833
West Jefferson, NC 28694-1833
Phone (336) 246-4151

Other identifiers 1

IdentifierTypeStateIssuer
899009JMedicaidNC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2195969Timothy M Rector DDS, PA#3 East State Street, West Jefferson, NC 28694Certificate of waiverOct 13, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1851562037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1833",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286941833",
            "telephone_number": "336-246-4151",
            "fax_number": "336-846-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#3 STATE STREET",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286941833",
            "telephone_number": "336-246-4151",
            "fax_number": "336-846-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIMOTHY M. RECTOR DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "RECTOR",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "336-246-4151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899009J",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.