DR. TIMOTHY MARK DURHAM (NPI# 1205972288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205972288 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY MARK DURHAM |
| Credential | DDS |
| Practice Address |
989375 Nebraska Medical Ctr Omaha NE 68198-9375 |
| Practice Telephone | 4025597962 |
| Practice Fax Number | 4025599607 |
| Mailing Telephone | 4025597962 |
| Mailing Fax Number | 4025599607 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5428 | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 10025144400 | 05 | |
| IA | 1956599 | 05 | |
| NE | BCBS | 4851 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644016 | Timothy Durham | Social Worker | 905 River Rd, Granville, OH 43023-9560 | 2017-08-11 |
| 1497209431 | Timothy R Durham | Case Manager/Care Coordinator | 322 Middleburg St, Liberty, KY 42539-3004 | 2016-08-08 |
| 1811987613 | Timothy J Durham | Pediatrics | 211 N Eddy St, South Bend, IN 46617-2808 | 2005-10-24 |
| Street Address |
989375 NEBRASKA MEDICAL CTR |
| City | OMAHA |
| State | NE |
| Zip Code | 68198-9375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528149580 | Unmc College of Dentistry | Dentist | 989375 Nebraska Medical Ctr, Omaha, NE 68198-9375 | 2006-10-18 |
| 1306445671 | Fransiska Lauren Lee | Dentist | 989375 Nebraska Medical Ctr, Omaha, NE 68198-9375 | 2020-10-19 |
| 1871049866 | Caren P Abraham | Dentist | 989375 Nebraska Medical Ctr, Omaha, NE 68198-9375 | 2016-08-30 |
| 1992258503 | John Young | Dentist | 989375 Nebraska Medical Ctr, Omaha, NE 68198-9375 | 2016-07-31 |
| 1013389295 | John Mark Burney | Dentist | 989375 Nebraska Medical Ctr, Omaha, NE 68198-9375 | 2015-10-27 |
| 1366857682 | Zackery Waldine Krei | Dentist | 989375 Nebraska Medical Ctr, Omaha, NE 68198-9375 | 2014-06-25 |
| 1306286380 | Daniel Elder Beck | Dentist | 989375 Nebraska Medical Ctr, Omaha, NE 68198-9375 | 2013-07-05 |
| 1831397389 | Aaron J. Anderson | Dentist | 989375 Nebraska Medical Ctr, Doc 3615, Omaha, NE 68198-9375 | 2007-07-06 |
| 1558422592 | Taryn Marie Chesire | Dentist | 989375 Nebraska Medical Ctr, Omaha, NE 68198-9375 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1295129757 | Brandon Mark Bennett | Student in an Organized Health Care Education/Training Program | 985640 Nebraska Medical Ctr, Omaha, NE 68198 | 2015-03-23 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| Find all providers in zip 68198 | ||||
| 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 |
|---|---|---|---|---|
| 1982240024 | Autumn Brown | Dentist | 989375 Nebraska Medical Ctr Fl Center3, Omaha, NE 68198-9375 | 2019-11-25 |
| 1407411507 | Today's Dental 74th Plaza, LLC | Dentist | 900 S 74th Plz Ste 300, Omaha, NE 68114-4667 | 2019-05-03 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1184119547 | Nbd Lincoln PC | Dentist | 2456 S 120th St, Omaha, NE 68144-2811 | 2018-06-28 |
| 1538664255 | Ss Green & Dentistry Associates LLC | Dentist | 3525 N 147th St Ste 213, Omaha, NE 68116-8262 | 2018-03-26 |
| 1487155073 | Nicole T Nelson | Dentist | 5805 Manderson St, Omaha, NE 68104-2939 | 2018-02-28 |
| 1588176887 | Jerald E. Mcmanigal, Dds, PC | Dentist | 13518 W Center Rd, Omaha, NE 68144-3408 | 2017-10-27 |
| 1467971457 | James Donald O'meara | Dentist | 780729 California Plz, Omaha, NE 68178-0012 | 2017-09-12 |
| 1801318142 | Trason Lyle Shoquist | Dentist | 15304 Howe St, Omaha, NE 68144-5416 | 2017-07-07 |
| 1144750449 | John Paul Kersenbrock | Dentist | 13808 W Maple Rd Ste 112, Omaha, NE 68164-6231 | 2017-06-19 |
| Find all providers in OMAHA | ||||
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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.