David Dumbach, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2020017366 Issued in MO

Practice address

1081 E 18TH St
Rolla, MO 65401-2448

Phone

(573) 426-2407

Fax

(573) 426-6723

NPI assigned

Jun 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IA HMO C-SNP
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AIGFCA/Endpoint/AIGFCA
• FHIR API: https://fhir4.healow.com/fhir/r4/AIGFCA

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1003432311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 E 18TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012448",
            "telephone_number": "573-426-2407",
            "fax_number": "573-426-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 E 18TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012448",
            "telephone_number": "573-426-2407",
            "fax_number": "573-426-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMBACH",
        "first_name": "DAVID",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2020017366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Rolla, MO
• Providers in Rolla, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.