Timothy Bryan House, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN18733 Issued in FL

Practice address

1201 NE 26TH St Ste 107
Wilton Manors, FL 33305-1206

Phone

(954) 870-6970

Fax

(954) 909-0140

NPI assigned

Jun 29, 2009

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

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• House of Dentistry

  • Dentist
  • Fort Lauderdale, FL
  • NPI 1508241951
  NPD (past) Authorized official
• Sharon Zachariah DMD LLC

  • General Practice Dentistry
  • Wilton Manors, FL
  • NPI 1326832379
  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1982832929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 NE 26TH ST STE 107",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051206",
            "telephone_number": "954-870-6970",
            "fax_number": "954-909-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE 26TH ST STE 107",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051206",
            "telephone_number": "954-870-6970",
            "fax_number": "954-909-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "TIMOTHY",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Naomi Hernandez, LAC
• Linda S Hicks, OT
• Hidden Palms Alf, LLC
• Holiday CVS LLC
• House Is Your House Inc
• Anucha Phansiri Hunter, LMT
• Angella Hyatt
• Shakerah Hylton, M.S.
• Paul L Hyman, LCSW
• William J Hyman, APRN

• Dentist in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.