DR. TIMOTHY ALWORTH ANDERSON (D.D.S) – Dentist, NPI 1104117456

DR. TIMOTHY ALWORTH ANDERSON (D.D.S) is a healthcare provider. based in Shakopee, Minnesota. specializing in Dentist. They hold the professional credentials D.D.S. They hold a License No. D13133 (MN). The NPI Number for DR. TIMOTHY ALWORTH ANDERSON (D.D.S) is 1104117456

Main info

Male
Name
DR. TIMOTHY ALWORTH ANDERSON (D.D.S)
NPI
1104117456
Phone
(612) 619-0917
Address
1362 PRESTON LN
Enumeration Date
20 April 2011
Last Update Date
28 June 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for DR. TIMOTHY ALWORTH ANDERSON (D.D.S)

  • 1362 PRESTON LN

    SHAKOPEE, MN 553797071

    Phone: (612) 619-0917

    Type: Mailing

  • 2059 ROBERT ST S

    WEST ST PAUL, MN 551183924

    Phone: (651) 457-9633

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $1,786.

Total Amount is formed as General ($1,786) + Research ($0) + Ownership ($0) = $1,786.

Last reported payment date: 2024-07-17 • Largest payer in this snapshot: Dentsply Sirona Inc ($1,607).

Total Amount

$1,786

General + Research + Ownership

Payments

10

Total payment records

General Amount

$1,786

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-17

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55379)

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Reviews

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Frequently asked questions

Can I cross-check DR. TIMOTHY ALWORTH ANDERSON (D.D.S) using NPI 1104117456?
NPI 1104117456 belongs to DR. TIMOTHY ALWORTH ANDERSON (D.D.S); compare other details if you need extra assurance.
Active or inactive — what applies to DR. TIMOTHY ALWORTH ANDERSON (D.D.S)?
You should see DR. TIMOTHY ALWORTH ANDERSON (D.D.S) as active in CMS-hosted NPPES data.
What area of care is associated with DR. TIMOTHY ALWORTH ANDERSON (D.D.S)?
DR. TIMOTHY ALWORTH ANDERSON (D.D.S)'s record emphasizes Dentist. Clinical services aligned with this taxonomy classification.
Is DR. TIMOTHY ALWORTH ANDERSON (D.D.S) associated with Shakopee?
Public fields place DR. TIMOTHY ALWORTH ANDERSON (D.D.S) around Shakopee, Minnesota. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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