TIM T. VAN DMD
NPI 1881047132
Dentist - General Practice in Jacksonville, FL

Q: What is Tim Van's NPI number?

The NPI number for Tim Van is 1881047132. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Q: What is Tim Van's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Tim Van was last updated on April 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 21, 2016PECOS Enrolled

9861-1 BEACH BLVD, JACKSONVILLE, FL 32246(904) 565-1800 Get Directions Write a Review

NPPES record last updated: April 28, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Tim T. Van Dmd NPPES

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

TIM T. VAN DMD (NPI 1881047132) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN 22156) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881047132

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameTIM T. VANCredential: DMD

Location Address9861-1 BEACH BLVDJacksonville, FL 32246-4782

Mailing Address2641 S Woodland BlvdDeland, FL 32720-8601

Phone(904) 565-1800

Sole ProprietorNo

Enumeration DateJuly 21, 2016

Last NPPES UpdateApril 28, 2024

NPPES CertifiedApril 28, 2024

✔ NPI 1881047132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN 22156

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.

Also ListedDentistTaxonomy 122300000X · License DN22156 (FL)

9861-1 BEACH BLVD, Jacksonville, FL 32246

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tim T. Van Dmd 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 32246 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

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 Tim Van's NPI number?

The NPI number for Tim Van is 1881047132. It was assigned to this individual provider in the NPPES registry on July 21, 2016.

Where is Tim Van located?

Tim Van practices at 9861-1 Beach Blvd, Jacksonville, FL 32246. The listed phone number is (904) 565-1800.

What is Tim Van's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tim Van enrolled in Medicare?

Yes. Tim Van is registered in the Medicare PECOS enrollment system.

What insurance does Tim Van accept?

Health plans from Ambetter Health, Ambetter of Alabama, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Tim Van as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tim Van was last updated on April 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.