Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1659489664 Deactivated / Inactive NPI Male Practitioner

Timothy Lee Kirkpatrick

Dentist - General Practice • Reston, VA

⚠️

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, Timothy Kirkpatrick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 29, 2006
NPI Deactivation Date December 19, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Timothy Kirkpatrick was a registered Dentist - General Practice practicing in Reston, VA. Throughout an active medical career spanning 13 years, Timothy Kirkpatrick provided care at the practice location at 11465 SUNSET HILLS RD until profile deactivation on 2019-12-19.

Practice Location & Contact Primary Location

Practice Address

11465 Sunset Hills Rd
Suite 600

Reston, VA 201905235

Telephone 7033188200
Fax 7033180834
Associated Practice Facility / Clinic
🏢 Messina Canal Moawad Dds Pc Facility NPI 1437304649

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Reston, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
44 Specialists

Practicing in Reston, VA (3535 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 VA 0401004443

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1477708675
Dr. Emilio Canal , DDS

Dentist - General Practice

NPI 1689782674

Doctor of Dental Surgery

Dr. Alexander Back , DMD

Dentist - General Practice

NPI 1710558036

Doctor of Dental Medicine

Michael Messina

Dentist - General Practice

NPI 1851409700

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated December 19, 2019

Record deactivated on December 19, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11465 SUNSET HILLS RD, SUITE 600, RESTON, VA 201905235 (Tel: 7033188200)

📍
Updated Business Mailing Address July 08, 2007

Registered at 18169 CANBY RD, LEESBURG, VA 201756917 (Tel: 5403380333)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY KIRKPATRICK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #0401004443 in VA)

🟢
Initial NPI Registration & Enumeration August 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Timothy Kirkpatrick. Be the first to share your experience!

Sign in to leave a review for Timothy Kirkpatrick

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1659489664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: July 08, 2007
Deactivation Date: December 19, 2019

Mailing Address

18169 Canby Rd

Leesburg, VA 201756917

Phone: 5403380333

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.