DR. TIMOTHY D WILEY (NPI# 1366654030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366654030 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY D WILEY |
| Credential | DMD |
| Practice Address |
1001 Gibson Bay Drive Suite 202 Richmond KY 40475 |
| Mailing Address |
403 Hackett Pike Richmond KY 40475-9386 |
| Practice Telephone | 8596250204 |
| Practice Fax Number | 8596255223 |
| Mailing Telephone | 8596240419 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
6239 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750596755 | Timothy Earl Wiley | Technician/Technologist | 227 N Jackson Ave, San Jose, CA 95116-1603 | 2007-05-11 |
| Street Address |
1001 GIBSON BAY DRIVE SUITE 202 |
| City | RICHMOND |
| State | KY |
| Zip Code | 40475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611300 | Christina Panter | Social Worker | 370 Highland Drive, Ste 1a, Richmond, KY 40475 | 2020-08-26 |
| 1952875387 | Visionary Therapy Center, LLC | Speech-Language Pathologist | 100 Ky Hwy 15 South, Suite 136, Jackson, KY 40475 | 2019-01-18 |
| 1639656911 | Brian Kettler | Physical Therapy Assistant | 2025 Corporate Dr Ste 2, Richmond, KY 40475 | 2018-07-19 |
| 1376063198 | Erin Danielle Burt | Developmental Therapist | 100 Eastern Hills Drive, Richmond, KY 40475 | 2017-06-22 |
| 1477088730 | Paul Henley Jr. | Student in an Organized Health Care Education/Training Program | 157 Shelby Court, Richmond, KY 40475 | 2017-04-25 |
| 1700310455 | Center for Behavioral Health Kentucky, Inc. | Clinic/Center | 1018 Ival Jame Bvld, Suite C, Richmond, KY 40475 | 2017-04-19 |
| 1790221000 | Darisha Jenkins | Counselor | 435 Gibson Lane, Richmond, KY 40475 | 2017-01-10 |
| 1992259402 | Kendra Gross | Counselor | 451 Big Hill Ave Ste 5, Richmond, KY 40475 | 2016-08-12 |
| 1386095032 | Shantila Nicole Wolford | Case Manager/Care Coordinator | 411 Gibson Lane, Richmond, KY 40475 | 2016-06-23 |
| 1154776540 | Jessica Conley | Social Worker | 105 Masters Court, Richmond, KY 40475 | 2016-05-04 |
| Find all providers in zip 40475 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740801000 | Tamara Lin | Dentist | 5116 Mulligan Ct, Richmond, CA 94806-5898 | 2020-04-28 |
| 1699394916 | Caitlin Suzanne Shannon | Dentist | 2519 E Main St Ste 102, Richmond, IN 47374-5869 | 2020-04-16 |
| 1982247953 | Benjamin Crowley, Dds PC | Dentist | 6808 Stoneman Rd, Richmond, VA 23228-2744 | 2019-10-23 |
| 1326695339 | New Era Healthcare Inc. | Dentist | 6300 Oak Middle Ct Apt 104, Richmond, VA 23231-4872 | 2019-08-23 |
| 1770145617 | Morgan Worley | Dentist | 4818 Waterview Town Center Dr Ste 100, Richmond, TX 77407-2384 | 2019-07-01 |
| 1083188908 | Richmond Pediatric Dentistry and Orthodontics | Dentist | 8503 Patterson Ave Ste G, Richmond, VA 23229-6442 | 2019-01-14 |
| 1699254318 | Blvd Dentistry Richmond Pllc | Dentist | 18320 W. Airport Rd, Suite 200, Richmond, TX 77407 | 2018-08-13 |
| 1083190011 | Kayla Marie Roe | Dentist | 6605 W Broad St Ste 105, Richmond, VA 23230-1714 | 2018-07-12 |
| 1376037341 | Adrienne Lashae Childress | Dentist | 4095 Atwood Dr Ste A, Richmond, KY 40475-8325 | 2018-06-21 |
| 1023509908 | Richmond City Dentistry | Dentist | 1517 W Broad St, Richmond, VA 23220-3016 | 2018-05-25 |
| Find all providers in RICHMOND | ||||
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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.