Individual provider Active NPI

Timothy J O'Shea, D.D.S.

  • General Practice Dentistry
  • Decatur, GA
National Provider Identifier
1942236526
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN008072 Issued in GA
Practice address
755 Commerce Dr
Suite 520
Decatur, GA 30030-2627
Phone
(404) 373-7818
Fax
(404) 638-5115
NPI assigned
Jun 24, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN008072 GA Primary

Addresses

Primary practice location

755 Commerce Dr
Suite 520
Decatur, GA 30030-2627

Mailing address

755 Commerce Dr
Suite 520
Decatur, GA 30030-2627
Phone (404) 373-7818

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
I20150713001838 GA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6103139605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN008072GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy J O'Shea DDS PA 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942236526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 COMMERCE DR",
            "address_2": "SUITE 520",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302627",
            "telephone_number": "404-373-7818",
            "fax_number": "404-638-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 COMMERCE DR",
            "address_2": "SUITE 520",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302627",
            "telephone_number": "404-373-7818",
            "fax_number": "404-638-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHEA",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.