NPIMap

Organization Active NPI

Timberline Dental PLLC

  • Dentist
  • Flagstaff, AZ
National Provider Identifier
1861711608
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7686 Issued in AZ
Legal business name
TIMBERLINE DENTAL PLLC
Practice address
518 N Beaver St
Suite a
Flagstaff, AZ 86001-3020
Phone
(928) 774-4705
Fax
(928) 213-9665
NPI assigned
May 18, 2010
Last updated
May 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Lou Ann Zerger
Title
Office Manager
Phone
(928) 774-4705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7686 AZ Primary

Addresses

Primary practice location

518 N Beaver St
Suite a
Flagstaff, AZ 86001-3020

Mailing address

518 N Beaver St
Suite a
Flagstaff, AZ 86001-3020
Phone (928) 774-4705

National Provider Directory

National Provider Directory

Locations

518 N Beaver St
Ste A
Flagstaff, AZ 86001
Phone (928) 774-4705

Practitioners & affiliated clinicians

Practitioners 2

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": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1861711608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 N BEAVER ST",
            "address_2": "SUITE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013020",
            "telephone_number": "928-774-4705",
            "fax_number": "928-213-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N BEAVER ST",
            "address_2": "SUITE A",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013020",
            "telephone_number": "928-774-4705",
            "fax_number": "928-213-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLINE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "ZERGER",
        "authorized_official_first_name": "LOU",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "928-774-4705"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "7686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.