Active NPI
Dr. Timothy J. Backiewicz, D.D.S., Inc.
- General Practice Dentistry
- New Albany, OH
National Provider Identifier
1972913200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-019554
- Legal business name
- DR. TIMOTHY J. BACKIEWICZ, D.D.S., INC.
- Practice address
- 68 N. High St.
Building F
New Albany, OH 43054 - Phone
- (614) 855-0202
- Fax
- (614) 855-8520
- NPI assigned
- May 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Timothy James Backiewicz, D.D.S.
- Title
- President
- Phone
- (614) 855-0202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-019554 | OH | Primary |
Addresses
Primary practice location
68 N. High St.
Building F
New Albany, OH 43054
Mailing address
68 N. High St.
Building F
New Albany, OH 43054
Phone (614) 855-0202
National Provider Directory
National Provider DirectoryLocations
68 N High St
Bldg F
New Albany, OH 43054
Phone (614) 855-0202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- New Albany, OH
- NPI 1891830410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1399507200000",
"number": "1972913200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 N. HIGH ST.",
"address_2": "BUILDING F",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "43054",
"telephone_number": "614-855-0202",
"fax_number": "614-855-8520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 N. HIGH ST.",
"address_2": "BUILDING F",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "43054",
"telephone_number": "614-855-0202",
"fax_number": "614-855-8520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. TIMOTHY J. BACKIEWICZ, D.D.S., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-08",
"last_updated": "2014-05-08",
"status": "A",
"authorized_official_last_name": "BACKIEWICZ",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-855-0202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-019554",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.