DR. TIMOTHY MEDIANICK D.M.D.
NPI 1750596045
Dentist in Reading, PA

Q: What is Timothy Medianick's NPI number?

The NPI number for Timothy Medianick is 1750596045. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Q: What is Timothy Medianick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Medianick was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 11, 2007PECOS Enrolled

430 KENHORST BLVD, READING, PA 19611(610) 775-0321(610) 777-8884 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Timothy Medianick D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TIMOTHY MEDIANICK D.M.D. (NPI 1750596045) is an individual dentist in Reading, Pennsylvania, licensed in Pennsylvania (DS036510) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750596045

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. TIMOTHY MEDIANICKCredential: D.M.D.

Location Address430 KENHORST BLVDReading, PA 19611-1830

Mailing Address2 Bordeaux DrMohnton, PA 19540-8905 · (717) 823-1392

Phone(610) 775-0321

Fax(610) 777-8884

Sole ProprietorYes

Enumeration DateMay 11, 2007

Last NPPES UpdateJuly 13, 2016

✔ NPI 1750596045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS036510

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

430 KENHORST BLVD, Reading, PA 19611

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Medianick D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER J KOSENSKE DENTIST

Dentist

430 KENHORST BLVD
READING, PA 19611

Berks County (610) 775-5714

BOULEVARD DENTAL ASSOCIATES

Dentist (General Practice)

430 KENHORST BLVD
READING, PA 19611

Berks County (610) 775-0321

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 Timothy Medianick's NPI number?

The NPI number for Timothy Medianick is 1750596045. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Timothy Medianick located?

Timothy Medianick practices at 430 Kenhorst Blvd, Reading, PA 19611. The listed phone number is (610) 775-0321.

What is Timothy Medianick's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Timothy Medianick enrolled in Medicare?

Yes. Timothy Medianick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Medianick was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.