Individual provider Active NPI

Timothy Steven Helton, DMD

  • Dentist
  • Snellville, GA
National Provider Identifier
1871679092
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10726 Issued in GA
Practice address
2220 Wisteria Dr
Suite 300
Snellville, GA 30078-2656
Phone
(678) 836-2107
Fax
(770) 978-5157
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10726 GA Primary

Addresses

Primary practice location

2220 Wisteria Dr
Suite 300
Snellville, GA 30078-2656

Mailing address

2326 Lake Ridge Terrace
Lawrenceville, GA 30043
Phone (770) 822-1431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20160311001341 GA Order and Referring Only - DentistPractitioner - Dentist 8921304254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10726GAMDAnesthesiologist Assistant

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871679092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 LAKE RIDGE TERRACE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30043",
            "telephone_number": "770-822-1431",
            "fax_number": "770-978-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 WISTERIA DR",
            "address_2": "SUITE 300",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782656",
            "telephone_number": "678-836-2107",
            "fax_number": "770-978-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTON",
        "first_name": "TIMOTHY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "10726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.