Timothy Marlin Mettler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AZ3027 Issued in AZ

Practice address

7505 W Deer Valley Rd
Suite 100
Peoria, AZ 85382-2107

Phone

(623) 487-4870

Fax

(623) 979-8737

NPI assigned

May 9, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1891909982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 W DEER VALLEY RD",
            "address_2": "SUITE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-487-4870",
            "fax_number": "623-979-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 W DEER VALLEY RD",
            "address_2": "SUITE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822107",
            "telephone_number": "623-487-4870",
            "fax_number": "623-979-8737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTLER",
        "first_name": "TIMOTHY",
        "middle_name": "MARLIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "AZ3027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BODEX",
            "identifier": "D03027",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AZ3027",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylee Messmer
• Meta Pharmacy Solutions
• Metro Surgery Center, LLC
• Mettler Global Services LLC
• Mettler Griego Family Dentistry PLCC
• James Edward Meyer, M.D.
• Shelley Marie Meyer, PHARMD
• Bailee Draven Meza
• Ashorena Mezdo, PHARMD
• MH Health Care Services, PC

• General Practice Dentistry in Peoria, AZ
• Providers in Peoria, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.