Individual provider Active NPI

Thomas Michael Palumbo Jr., DMD

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1033904545
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.028050 Issued in OH
Practice address
9850 Colerain Ave
Cincinnati, OH 45251-1470
Phone
(513) 699-7070
NPI assigned
Apr 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 30.028050 OH Primary

Addresses

Primary practice location

9850 Colerain Ave
Cincinnati, OH 45251-1470

Mailing address

9850 Colerain Ave
Cincinnati, OH 45251-1470
Phone (513) 245-1670

Other practice location 1

3397 Princeton Rd
Fairfield Township, OH 45011-5563
Phone (513) 642-0280

Other practice location 2

6218 Glenway Ave
Cincinnati, OH 45211-6314
Phone (513) 245-8460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.028050OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Burnham Dental Group LLC CurrentSince Apr 20, 2025 Accepting new patients
Kireru Dental Associates Inc Past Accepting new patients

Locations

9850 Colerain Ave
Cincinnati, OH 45251
Phone (513) 699-7070

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1033904545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511470",
            "telephone_number": "513-245-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 COLERAIN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511470",
            "telephone_number": "513-699-7070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3397 Princeton Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfield Township",
            "state": "OH",
            "postal_code": "450115563",
            "country_code": "US",
            "telephone_number": "513-642-0280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6218 Glenway Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452116314",
            "country_code": "US",
            "telephone_number": "513-245-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.028050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.