Individual provider Active NPI

Timothy James Neuner, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Sill, OK
National Provider Identifier
1952469553
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D12275 Issued in MN
Practice address
2776 Ringold Rd
Fort Sill, OK 73503-4449
Phone
(580) 442-5223
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D12275 MN Primary

Addresses

Primary practice location

2776 Ringold Rd
Fort Sill, OK 73503-4449

Mailing address

614 NW Allison LN
Lawton, OK 73505-0601
Phone (202) 445-1631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140617001980 MN Practitioner - Maxillofacial Surgery 6901020767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
University of Minnesota School of Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 N Central Ave
Suite 126
Wayzata, MN 55391-1293
Phone (952) 475-2266

6350 W 143Rd St
Suite 206
Savage, MN 55378-2890
Phone (952) 435-4150

7373 France Ave S
Suite 602
Edina, MN 55435-4552
Phone (952) 835-5003

7770 Dell Rd
Suite 100
Chanhassen, MN 55317-9316
Phone (952) 975-0605

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12275MNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery Current Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery CurrentSince Jun 16, 2014 Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery CurrentSince Jun 16, 2014 Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery Current Accepting new patients

Locations

7770 Dell Rd
Ste 100
Chanhassen, MN 55317
Phone (952) 435-4150

7373 France Ave S
Ste 602
Edina, MN 55435
Phone (612) 835-5003

6350 W 143rd St
Ste 206
Savage, MN 55378
Phone (952) 435-4150

250 Central Ave N
Ste 126
Wayzata, MN 55391
Phone (952) 475-2266

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1952469553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 NW ALLISON LN",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735050601",
            "telephone_number": "202-445-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 RINGOLD RD",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034449",
            "telephone_number": "580-442-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUNER",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D12275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sill, OK

Sources for this page

Verify at the official NPI Registry.