P Praxis·MD
● Active Type 1 · Individual

DR. Robert John Timothy, D.D.S.

Dentist·Montpelier, ID· NPI 1811953276 · Enumerated 2006 · 20 years on NPI
Timothy is 1 of 1 dentist providers in Montpelier and 1 of 4 in Idaho.
NPI age
20 years
Enumerated 2006-04-25
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
UT, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-12-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4 active dentist providers in Idaho.

NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
2 states
Top 50% — 50% of peers are multi-state
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-04Enumerated in NPPES
2006 2026

Where they practice

Practice location
215 S 4th St
Montpelier, ID 832541591
📞 2088470153
Mailing address
215 S 4th St
Montpelier, ID 832541591
📞 2088470153

Specialties

  • Dentist Primary
    The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases,...
    UT license #145092-9921 taxonomy 1223X0008X
  • Dentist
    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.
    ID license #D-3060 taxonomy 1223G0001X

Identifiers

TypeValueNotes
05 (ID) 003303600
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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