Kirubeal Mulugeta, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS042965 Issued in PA

Practice address

750 S Potomac St
Waynesboro, PA 17268-2198

Phone

(717) 762-1515

Fax

(717) 762-6103

NPI assigned

Dec 29, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1003403700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S POTOMAC ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682198",
            "telephone_number": "717-762-1515",
            "fax_number": "717-762-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S POTOMAC ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682198",
            "telephone_number": "717-762-1515",
            "fax_number": "717-762-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUGETA",
        "first_name": "KIRUBEAL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS042965",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Andreas Norris III, RPH

• Dentist in Waynesboro, PA
• Providers in Waynesboro, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.