Andrew Timmerman

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8933 Issued in SC

Practice address

1144 India Hook Rd Ste F
Rock Hill, SC 29732-2400

Phone

(803) 327-4166

NPI assigned

Jun 19, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• R. Glen Willis, DMD, PA

  • General Practice Dentistry
  • Rock Hill, SC
  • NPI 1063581270
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1891225199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 DENNIS DR",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102222",
            "telephone_number": "843-708-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 INDIA HOOK RD STE F",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322400",
            "telephone_number": "803-327-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMERMAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Three Trees Center for Change
• Three TS Therapy
• Shasta Thurman, CPSS
• Tristin Tidey
• Carole Barber Tiedeman, PT PHYSICAL THERAPIS
• Tracy M Timony, M.D.
• Margaret East Tindall, DMD
• Jason Tines, RBT
• Keauna A Tinnin
• Tamyra Cirella Titchenal

• General Practice Dentistry in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.