TIMOTHY JOHN JOSEPH DDS
NPI 1851445969
Dentist - General Practice in Plymouth, WI

Active since January 23, 2007PECOS Enrolled
435 E MILL ST, PLYMOUTH, WI 53073(920) 893-5131 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Timothy John Joseph Dds NPPES

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

TIMOTHY JOHN JOSEPH DDS (NPI 1851445969) is an individual general practice provider in Plymouth, Wisconsin, licensed in Wisconsin (5077) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851445969
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTIMOTHY JOHN JOSEPHCredential: DDS
Location Address435 E MILL STPlymouth, WI 53073-1850
Mailing Address435 E Mill StPlymouth, WI 53073-1850
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1851445969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 5077
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

435 E MILL ST, Plymouth, WI 53073

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Timothy John Joseph Dds 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 53073 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 3

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

Dentist (General Practice)
435 E MILL ST
PLYMOUTH, WI 53073
Dentist (General Practice)
435 E MILL ST
PLYMOUTH, WI 53073
Dentist (General Practice)
435 E MILL ST
PLYMOUTH, WI 53073

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851445969, enumerated as an "individual" on January 23, 2007.

The provider is located at 435 E MILL ST PLYMOUTH, WI 53073 and the phone number is (920) 893-5131.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.