MR. TIMOTHY JAMES BOCKENSTEDT (NPI# 1104917319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104917319 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY JAMES BOCKENSTEDT |
| Credential | DDS |
| Practice Address |
700 N 3rd St Burlington IA 52601 |
| Practice Telephone | 3197536283 |
| Practice Fax Number | 3197536284 |
| Mailing Telephone | 3197536283 |
| Mailing Fax Number | 3197536284 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6397 | IA | Dental Providers |
| Street Address |
700 N 3RD ST |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124280185 | Nathan Michael Heubner | Dentist | 700 N 3rd St, Burlington, IA 52601-5043 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316163793 | Frank A.lasley, IIi Dds PC | Dentist | 2 Winn St, Burlington, MA 01803-4701 | 2007-04-17 |
| 1366528853 | Paul D Byerly | Dentist | 1635 Memorial Dr, Burlington, NC 27215-3517 | 2006-10-27 |
| 1003836586 | Kathleen A Stambaugh | Dentist | 120 E George Hopper Rd, Suite 215, Burlington, WA 98233-3125 | 2006-07-20 |
| 1689619074 | Associates In Periodontics, Plc | Dentist | 247 Pearl St, Suite 2, Burlington, VT 05401-8572 | 2006-06-18 |
| 1396749313 | Joseph Gerard Maloney | Dentist | 2 Winn Street, Dr Joseph Maloney, Burlington, MA 01803-4725 | 2005-06-08 |
| 1659820207 | Curtis K. Wade, Dds,ps | Dentist | 205 W Fairhaven Ave, Suite C, Burlington, WA 98233-1062 | 2016-09-23 |
| 1215282975 | Won Kyung Kim | Dentist | 279 Cambridge St Ste 9, Burlington, MA 01803-2549 | 2012-07-18 |
| 1124148788 | Curtis K Wade | Dentist | 205 W Fairhaven Ave, Ste C, Burlington, WA 98233-1062 | 2007-03-29 |
| 1336160282 | Roger Stambaugh | Dentist | 120 E George Hopper Rd, Suite 215, Burlington, WA 98233-3125 | 2006-07-23 |
| 1578583563 | Paul A. Levi Jr. | Dentist | 247 Pearl St, Burlington, VT 05401-8502 | 2006-07-20 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.