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Deactivated NPI 1205831062 Deactivated / Inactive NPI Male Practitioner

Dr. Timothy Berton Menke , DDS

Dentist - General Practice • Cherokee, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Timothy Menke has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 17, 2005
NPI Deactivation Date June 01, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Menke, DDS was a registered Dentist - General Practice practicing in Cherokee, IA. Throughout an active medical career spanning 16 years, Dr. Menke provided care at the practice location at 1217 N 2ND ST until profile deactivation on 2021-06-01.

Practice Location & Contact Primary Location

Practice Address

1217 N 2nd St
Ste 2

Cherokee, IA 510121201

Telephone 7122254812
Fax 7122254483

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Cherokee, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Cherokee, IA (1303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 6267

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 01, 2021

Record deactivated on June 01, 2021

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 1217 N 2ND ST, STE 2, CHEROKEE, IA 510121201 (Tel: 7122254812)

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Updated Business Mailing Address July 09, 2007

Registered at 1217 N 2ND ST, STE 2, CHEROKEE, IA 510121201 (Tel: 7122254812)

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Provider Name / Credentials Updated July 09, 2007

Recorded as TIMOTHY MENKE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #6267 in IA)

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Initial NPI Registration & Enumeration June 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205831062
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2005
Last Update: July 09, 2007
Deactivation Date: June 01, 2021

Mailing Address

1217 N 2nd St, Ste 2

Cherokee, IA 510121201

Phone: 7122254812

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.