Timothy Lawrence Carr, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

PA-DS025240-L Issued in PA

Practice address

31 Strawser Rd
Port Trevorton
Port Trevorton, PA 17864-9246

Phone

(570) 374-2334

Fax

(570) 374-6965

NPI assigned

Feb 15, 2013

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2013.

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1982944708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 STRAWSER RD",
            "address_2": "PORT TREVORTON",
            "city": "PORT TREVORTON",
            "state": "PA",
            "postal_code": "178649246",
            "telephone_number": "570-374-2334",
            "fax_number": "570-374-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 STRAWSER RD",
            "address_2": "PORT TREVORTON",
            "city": "PORT TREVORTON",
            "state": "PA",
            "postal_code": "178649246",
            "telephone_number": "570-374-2334",
            "fax_number": "570-374-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "TIMOTHY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "PA-DS025240-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Marie Weir, LCSW

• All providers in Port Trevorton, PA
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.