Timothy A Freeman Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19637 Issued in OH

Practice address

533 Hill Rd N
Pickerington, OH 43147-1159

Phone

(614) 833-6600

Fax

(614) 833-6654

NPI assigned

Jan 8, 2007

Last updated

Nov 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in OH

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1942358437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471159",
            "telephone_number": "614-833-6600",
            "fax_number": "614-833-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 HILL RD N",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471159",
            "telephone_number": "614-833-6600",
            "fax_number": "614-833-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "19637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryjane Frank, LISW
• Freddys Home Care LLC
• Shelby Q Frederick, LMT, RP
• Jonathan Freeman
• Kaitlin Freeman
• Michael Frerick
• Fresenius Medical Care Canal Winchester, LLC (Fresenius Medical Care Pickerington)
• Jerry Friedman
• Courtney Danielle Frost, PC
• Karlie Frost

• General Practice Dentistry in Pickerington, OH
• Providers in Pickerington, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.