NPIMap

Organization Active NPI

Timothy Kingsbury D O Inc

Doing business as Timothy Kingsbury D O P C

  • General Practice Physician
  • Kittery, ME
National Provider Identifier
1962705905
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1254 Issued in ME
Legal business name
TIMOTHY KINGSBURY D O INC
Doing business as
Timothy Kingsbury D O P C
Practice address
111 Rogers Rd
Kittery, ME 03904-1453
Phone
(207) 439-9924
Fax
(207) 439-5992
NPI assigned
Dec 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Timothy Kingsbury, D.O.NPI 1720172844
Title
Owner
Phone
(207) 439-9924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 1254 ME Primary

Addresses

Primary practice location

111 Rogers Rd
Kittery, ME 03904-1453

Mailing address

PO Box 189
Kittery, ME 03904-0189
Phone (207) 439-9924

Other identifiers 3

IdentifierTypeStateIssuer
1D119310000MedicaidME
1720172844OtherNPI
MM1151OtherMEDICARE PTAN

Other names 1

  • Timothy Kingsbury D O P C Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1962705905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039040189",
            "telephone_number": "207-439-9924",
            "fax_number": "207-439-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ROGERS RD",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041453",
            "telephone_number": "207-439-9924",
            "fax_number": "207-439-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY KINGSBURY D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-14",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "KINGSBURY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-439-9924",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "ME",
            "license": "1254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D119310000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720172844",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MM1151",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timothy Kingsbury D O P C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kittery, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.