MR. A TIMOTHY DECONINCK DDS
NPI 1124163738
Dentist - Endodontics in Warren, MI
About Mr. A Timothy Deconinck Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. A TIMOTHY DECONINCK DDS (NPI 1124163738) is an individual endodontics provider in Warren, Michigan, licensed in Michigan (2901009162) and active in the NPI registry since February 2007. He has opted out of Medicare through December 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. A Timothy Deconinck Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 1, 2015 through December 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is A Timothy Deconinck's NPI number?
The NPI number for A Timothy Deconinck is 1124163738. It was assigned to this individual provider in the NPPES registry on February 21, 2007.
Where is A Timothy Deconinck located?
A Timothy Deconinck practices at 11300 E 13 Mile Rd, Warren, MI 48093. The listed phone number is (586) 573-6860.
What is A Timothy Deconinck's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.
Is A Timothy Deconinck enrolled in Medicare?
No. A Timothy Deconinck has opted out of Medicare through December 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for A Timothy Deconinck was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.
