Timothy E Mickiewicz Dental Corporation
NPI 1558668244 · Preferred Provider Organization · Sacramento, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy E Mickiewicz Dental Corporation is a Preferred Provider Organization organization in Sacramento, CA (NPI 1558668244).
Provider details
- NPI number
- 1558668244
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Timothy Mickiewicz, Dentist(916) 457-7710
- License
- 30810 (CA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-02-16
- Last updated
- 2014-08-13
Frequently asked questions
- What is Timothy E Mickiewicz Dental Corporation's NPI number?
- Timothy E Mickiewicz Dental Corporation's National Provider Identifier (NPI) is 1558668244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Timothy E Mickiewicz Dental Corporation?
- Timothy E Mickiewicz Dental Corporation is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Timothy E Mickiewicz Dental Corporation located?
- Timothy E Mickiewicz Dental Corporation's practice location on file with NPPES is 3401 Folsom Blvd, Sacramento, CA 95816-5354.
- What is Timothy E Mickiewicz Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Timothy E Mickiewicz Dental Corporation is (916) 457-7710.
- Does Timothy E Mickiewicz Dental Corporation accept Medicare?
- Timothy E Mickiewicz Dental Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Timothy E Mickiewicz Dental Corporation?
- The authorized official listed on Timothy E Mickiewicz Dental Corporation's NPPES record is Timothy Mickiewicz, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Timothy E Mickiewicz Dental Corporation's NPI active?
- Yes — Timothy E Mickiewicz Dental Corporation's NPI (1558668244) is active in the NPPES registry as of the last update on 2014-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.