Organization Active NPI

Timothy E Moats DDS LLC

  • Dentist
  • Worthington, OH
National Provider Identifier
1881754299
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19301 Issued in OH
Legal business name
TIMOTHY E MOATS DDS LLC
Practice address
656 High Street
Worthington, OH 43085-4156
Phone
(614) 885-6698
Fax
(614) 433-7952
NPI assigned
Dec 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Edwin Moats, DDSNPI 1245445154
Title
President
Phone
(614) 885-6698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19301 OH Primary

Addresses

Primary practice location

656 High Street
Worthington, OH 43085-4156

Mailing address

656 High Street
Worthington, OH 43085-4156
Phone (614) 885-6698

Other names 1

  • Timothy E Moats DDS Other name

National Provider Directory

National Provider Directory

Locations

656 High St
Worthington, OH 43085
Phone (614) 885-6698

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881754299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 HIGH STREET",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854156",
            "telephone_number": "614-885-6698",
            "fax_number": "614-433-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 HIGH STREET",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854156",
            "telephone_number": "614-885-6698",
            "fax_number": "614-433-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY E MOATS DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOATS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-885-6698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OH",
            "license": "19301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timothy E Moats DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.