Timothy Marx Osborn, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

243648 Issued in MA

Practice address

287 Middlesex Ave
Medford, MA 02155-5056

Phone

(617) 286-5780

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJIJCD/Endpoint/GJIJCD
• FHIR API: https://api.platform.athenahealth.com/23518/brand/1/csg/1/fhir/r4

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.

• Trustees of Boston University

  • Oral and Maxillofacial Surgery (Dentist)
  • Boston, MA
  • NPI 1154331916
  Medicare reassignment NPD
• Boston Center for Facial Aesthetics

  • Ambulatory Surgical Clinic/Center
  • Medford, MA
  • NPI 1053025742
  NPD Authorized official
• C.M.F.-Cranio-Maxillofacial Surgery Associates

  • Ambulatory Surgical Clinic/Center
  • Medford, MA
  • NPI 1073306064
  NPD Authorized official
• C.M.F.-Cranio-Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Medford, MA
  • NPI 1750844080
  NPD Authorized official
• Trustees of Boston University

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Boston, MA
  • NPI 1053419598
  NPD (past)
• Great Bay Oral Surgery Associates PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Somersworth, NH
  • NPI 1871613539
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1962619684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 MIDDLESEX AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555056",
            "telephone_number": "617-447-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 MIDDLESEX AVE",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555056",
            "telephone_number": "617-286-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "TIMOTHY",
        "middle_name": "MARX",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8485",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "243648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omni Dentix & Assoc.
• Erin A Oneill
• Openbiome
• Matthew J Orlando, LCSW
• Maribeth Ortega, MSW
• Caralee Osgood, PHYSICIAN ASSISTANT
• Eliana Oshinsky
• Maka Osman
• Kayla Daisy Ho Oster, LICSW
• Harold Gregory Ota, MD

• Oral & Maxillofacial Surgery (D.M.D.) in Medford, MA
• Providers in Medford, MA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.