Timothy P Bashford, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019017695 Issued in IL

Practice address

833 N Wilke Rd
Arlington Heights, IL 60005-1047

Phone

(847) 256-9507

Fax

(847) 256-9750

NPI assigned

Jan 16, 2007

Reactivated

Sep 17, 2020

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Contemporary Dental Design PLLC

  • Dentist
  • Arlington Heights, IL
  • NPI 1477266005
  NPD Authorized official
• Evergreen Dental, Inc.

  • Dentist
  • Arlington Heights, IL
  • NPI 1396343133
  NPD Authorized official
• Moondrift Sleep Solutions, LLC

  • Customized Equipment (DME)
  • Arlington Heights, IL
  • NPI 1275145534
  NPD Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1992857684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8347",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600938347",
            "telephone_number": "847-256-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N WILKE RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051047",
            "telephone_number": "847-256-9507",
            "fax_number": "847-256-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHFORD",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "deactivation_date": "2020-08-18",
        "reactivation_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019017695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Bartolone, D.O.
• Kristen Nicole Bartucci, MD
• Magdalena Baryliszyn
• Joumana Basha Farhat, DMD
• Bashar Oustwani M.D.S.C.
• Tony Bates, LCSW
• Amirlan Batsaikhan
• Alexandra Catherine Bauer, LPC
• Maya Jessie Bauer
• Michael R Bauer, M.D.

• General Practice Dentistry in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.