DR. TIMOTHY R OLINGER (NPI# 1619059557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619059557 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY R OLINGER |
| Credential | DDS |
| Practice Address |
10211 Dupont Circle Drive West Fort Wayne IN 46825-1625 |
| Practice Telephone | 2604905437 |
| Practice Fax Number | 2604905210 |
| Mailing Telephone | 2604905437 |
| Mailing Fax Number | 2604905210 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
12008812 | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CHILDRENS SPECIAL HEALTH | 108615 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952411365 | Timothy Paul Olinger | Optometrist | 15725 Hawthorne Blvd, Suite 100, Lawndale, CA 90260-2651 | 2006-08-30 |
| Street Address |
10211 DUPONT CIRCLE DRIVE WEST |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46825-1625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772078 | Bradley Murphy | Occupational Therapist | 2626 St Joe Center Ed, Fort Wayne, IN 46825 | 2020-02-21 |
| 1144851015 | Sabryna Roman | Developmental Therapist | 2626 St Joe Center Rd, Fort Wayne, IN 46825 | 2020-01-30 |
| 1205474103 | Ashleigh Miller | Developmental Therapist | 2626 St. Joe Center Rd, Fort Wayne, IN 46825 | 2019-12-11 |
| 1962055152 | Carehalo Ohio LLC | General Practice | 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 | 2019-07-17 |
| 1306318175 | Logan Alan Williams | Nurse Anesthetist, Certified Registered | 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 | 2018-12-18 |
| 1326582925 | Mark F Stoner LLC | Dentist | 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 | 2016-12-15 |
| 1336695782 | Nadine Rene' Handy | Nurse Practitioner | 3978 New Vision Dr., Fort Wayne, IN 46825 | 2016-08-26 |
| 1558815712 | Nathan Paul Miller | Physical Therapist | 10006 Auburn Park Dr, Fort Wayne, IN 46825 | 2016-08-05 |
| 1013366905 | Brianna Abbott | Physician Assistant | 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 | 2016-06-10 |
| 1003276643 | Seiss, LLC | Psychologist | 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 | 2016-02-24 |
| Find all providers in zip 46825 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982966255 | Kevin Harrington Ludwig | Dentist | 10211 Dupont Circle Dr W, Suite B, Fort Wayne, IN 46825-1622 | 2012-06-13 |
| 1104859701 | Pediatric Dentistry Inc | Dentist | 7750 West Jefferson Blvd, Fort Wayne, IN 46804-4136 | 2006-07-08 |
| 1689185886 | Fort Wayne Pediatric Dentistry LLC | Dentist | 10211 Dupont Circle Dr W, Fort Wayne, IN 46825-1622 | 2017-10-16 |
| 1477678167 | Pediatric Dental Associates PC | Dentist | 7750 West Jefferson Blvd, Fort Wayne, IN 46804-4174 | 2007-03-20 |
| 1124127832 | James A Shupe Dds, Dentistry for Children, Inc | Dentist | 3030 Lake Ave, Suite 15, Fort Wayne, IN 46805-5428 | 2006-09-21 |
| 1013016823 | James A Shupe Jr. | Dentist | 3030 Lake Ave, Suite 15, Fort Wayne, IN 46805-5428 | 2006-09-21 |
| 1407860216 | Wayne Lee Dawes | Dentist | 7750 W Jefferson Blvd, Fort Wayne, IN 46804-4174 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477186732 | Poplar Pediatric Dentistry LLC | Dentist | 6741 Lexington Cir, Zionsville, IN 46077-9164 | 2020-02-14 |
| 1265074710 | Hendricks Pediatric Dentistry, LLC | Dentist | 1557 Windview, Brownsburg, IN 46112-7641 | 2019-10-16 |
| 1760048748 | Kids Dentistree of In, LLC | Dentist | 1602 W Mcclain Ave, Scottsburg, IN 47170-1161 | 2019-05-15 |
| 1134691090 | Dentistry Just for Kids and Orthodontics, LLC | Dentist | 1107 Ohio St, Terre Haute, IN 47807-3817 | 2018-12-17 |
| 1588159339 | Kids Dentistree of In, LLC | Dentist | 7900 E Us Highway 36 Ste K, Avon, IN 46123-7791 | 2018-06-25 |
| 1285128512 | Schulten Pediatric Dentistry - New Albany LLC | Dentist | 4317 Charlestown Rd, New Albany, IN 47150-8506 | 2018-06-20 |
| 1255843116 | John A. Bozc, D.d.s. PC | Dentist | 520 W Navajo St, West Lafayette, IN 47906-1999 | 2017-11-01 |
| 1316463607 | Emhardt Pediatric Dentistry LLC | Dentist | 1818 N Riley Hwy Ste B, Shelbyville, IN 46176-8572 | 2017-08-17 |
| 1194245225 | Sara Gholam | Dentist | 1121 W Michigan St Rm 280b, Indianapolis, IN 46202 | 2017-06-20 |
| 1245788066 | Eric Ladd, D.d.s. | Dentist | 555 W Us Highway 30, Schererville, IN 46375-2650 | 2016-09-21 |
| Find all providers with the same taxonomy | ||||
| City | FORT WAYNE |
| Zip Code | 46825 |
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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.