Timothy Patrick McVaney, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

NE4332 Issued in NE

Practice address

12165 W Center Road
Suite 76
Omaha, NE 68144-3962

Phone

(402) 334-8083

Fax

(402) 334-0834

NPI assigned

Jun 28, 2006

Last updated

May 6, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 18, 2016 through Jul 18, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Specialty Dental Care PC

  • Periodontics
  • Omaha, NE
  • NPI 1588781306
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1982632121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12242 K PLZ",
            "address_2": "SUITE 113",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372260",
            "telephone_number": "402-334-8083",
            "fax_number": "402-334-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12165 W CENTER ROAD",
            "address_2": "SUITE 76",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681443962",
            "telephone_number": "402-334-8083",
            "fax_number": "402-334-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVANEY",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NE",
            "license": "NE4332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriella A McTate
• Haley McTee
• Deametria Linell McTizic
• Lanaye M McTizic
• Teresa Ann McTizic
• Molly Ellen McVay
• Geri McVey, RN CDE
• Nicquel Ann-Marie McVey, PHARMD
• Christopher McWhirter, PHARM.D.
• Alicia McWilliams, RN

• Periodontics in Omaha, NE
• Providers in Omaha, NE by specialty
• Periodontics in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.