Edward Wayne Lumpkins, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 012858 Issued in GA

Practice address

4301 Wilson St
Fort Sill, OK 73503-4472

Phone

(850) 558-8375

NPI assigned

May 2, 2006

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

Other identifiers 1

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1013975002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WILSON ST",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034472",
            "telephone_number": "580-558-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 WILSON ST",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034472",
            "telephone_number": "850-558-8375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Upper Hembree Rd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300761144",
            "country_code": "US",
            "telephone_number": "770-569-0613",
            "fax_number": "770-569-0614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUMPKINS",
        "first_name": "EDWARD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2023-12-26",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN 012858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "457645832B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Dwight Logie, DDS
• Andrea Christine Lohmann, PA, OTR, CHT
• Kimika Louis, LMSW
• Christopher Morgan Lowe, ARNP
• Anson Lukose, M.D.
• Linda Carolyn Lynch, DPH
• Kerry R Macdonald, MPT
• Scott Anthony Maddox, R.N.
• Jake Madsen, D.M.D
• Joshua Harlin Mallow, PHARM D.

• General Practice Dentistry in Fort Sill, OK
• Providers in Fort Sill, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.