Active NPI
Tim McNamara, D.D.S.
- Dentist
- Kennewick, WA
National Provider Identifier
1891108247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE60594416
- Practice address
- 2620 S Williams PL
120
Kennewick, WA 99338-1867 - Phone
- (405) 513-0185
- NPI assigned
- Jun 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DE60594416 | WA | Primary |
Addresses
Primary practice location
2620 S Williams PL
120
Kennewick, WA 99338-1867
Mailing address
2620 S Williams PL
120
Kennewick, WA 99338-1867
Phone (405) 513-0185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DE60594416 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McNamara DDS PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481414400000",
"number": "1891108247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 S WILLIAMS PL",
"address_2": "120",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993381867",
"telephone_number": "405-513-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 S WILLIAMS PL",
"address_2": "120",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993381867",
"telephone_number": "405-513-0185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNAMARA",
"first_name": "TIM",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-03",
"last_updated": "2016-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE60594416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.