DR. TIMOTHY SHIELDS (NPI# 1467506550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467506550 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY SHIELDS |
| Credential | D.D.S., M.S.D. |
| Practice Address |
13410 Highway 99 Ste 102 Everett WA 98204-5454 |
| Practice Telephone | 4257430201 |
| Practice Fax Number | 4257434799 |
| Mailing Telephone | 4257430201 |
| Mailing Fax Number | 4257434799 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5757 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578890539 | Timothy P Shields | Counselor | 402 S 4th Ave, Yakima, WA 98902-3546 | 2009-11-12 |
| 1295827954 | Timothy Randall Shields | Counselor | 1819 Bay Scott Cir Ste 109, Naperville, IL 60540-1130 | 2006-09-29 |
| 1851347546 | Timothy D Shields | Nurse Anesthetist, Certified Registered | 2412 N Commerce St, Ardmore, OK 73401-1356 | 2006-05-25 |
| Street Address |
13410 HIGHWAY 99 STE 102 |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-5454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114046075 | Michael J Cognata | Dentist | 599 Broadway, Everett, MA 02149-3712 | 2007-03-29 |
| 1467595645 | Paul Kulits | Dentist | 7404 Evergreen Way, Suite B, Everett, WA 98203-5683 | 2007-02-15 |
| 1124106687 | Michael L George Dds Msd Pllc | Dentist | 4001 Colby Ave, Everett, WA 98201-6207 | 2006-11-01 |
| 1831291301 | Soraya Elahi | Dentist | 563 Broadway Ste 23, Everett, MA 02149-3749 | 2006-09-03 |
| 1851401517 | Tofigh Raayai | Dentist | 551 Broadway, Everett, MA 02149 | 2006-08-30 |
| 1346265857 | William Donald Oliver | Dentist | 10812 19th Ave Se, Everett, WA 98208 | 2006-07-13 |
| 1972113652 | Silverlake Orthodontics | Dentist | 10812 19th Ave Se, Everett, WA 98208-5153 | 2020-08-06 |
| 1609216308 | Dennis Tran | Dentist | 10812 19th Ave Se, Everett, WA 98208-5153 | 2013-06-27 |
| 1245460088 | Peter M. Pellegrini, Dds, Ms, P.s. | Dentist | 827 128th St Sw, Suite B, Everett, WA 98204-5321 | 2009-07-14 |
| 1245469493 | Peter M Pellegrini | Dentist | 827 128th St Sw, Suite B, Everett, WA 98204-5321 | 2009-07-09 |
| Find all providers in EVERETT | ||||
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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.