Individual provider Active NPI

Khlea Sumani, D.M.D.

  • Dentist
  • New Philadelphia, OH
National Provider Identifier
1063807147
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30. 24862 Issued in OH
Practice address
341 Graff Rd SE
New Philadelphia, OH 44663-3889
Phone
(330) 407-3264
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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. 24862 OH Primary

Addresses

Primary practice location

341 Graff Rd SE
New Philadelphia, OH 44663-3889

Mailing address

341 Graff Rd SE
New Philadelphia, OH 44663-3889
Phone (330) 407-3264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805008713 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7214241181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30. 24862OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1063807147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 GRAFF RD SE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446633889",
            "telephone_number": "330-407-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 GRAFF RD SE",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446633889",
            "telephone_number": "330-407-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMANI",
        "first_name": "KHLEA",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2016-07-27",
        "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. 24862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.