Active NPI
David Edward Umsted, D.D.S.
- Dentist
- Memphis, TN
National Provider Identifier
1114137007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS3127
- Practice address
- 875 Union Ave
Memphis, TN 38103-3513 - Phone
- (901) 448-6930
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS3127 | TN | Primary |
Addresses
Primary practice location
875 Union Ave
Memphis, TN 38103-3513
Mailing address
5465 N Suggs Dr
Memphis, TN 38120-2836
Phone (901) 359-1570
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS3127 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363478400000",
"number": "1114137007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5465 N SUGGS DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202836",
"telephone_number": "901-359-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 UNION AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033513",
"telephone_number": "901-448-6930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMSTED",
"first_name": "DAVID",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2013-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS3127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.