Active NPI
Rumika Imdad, DDS
- Student in an Organized Health Care Education/Training Program
- South Jordan, UT
National Provider Identifier
1124876958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 10894 S River Front Pkwy
South Jordan, UT 84095-5609 - Phone
- (801) 878-1200
- NPI assigned
- May 7, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Dentist
- South Jordan, UT
- NPI 1417363821
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseman University of Health Sciences, a Nevada Non-Profit Corp | Current | Accepting new patients |
Locations
10894 S River Front Pkwy
South Jordan, UT 84095
Phone (801) 302-2600
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
10894 S River Front Pkwy
South Jordan, UT 84095-5609
Mailing address
1061 Methven CT
Herndon, VA 20170-2354
Phone (703) 939-7921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2024.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1124876958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 METHVEN CT",
"city": "HERNDON",
"state": "VA",
"postal_code": "201702354",
"telephone_number": "703-939-7921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10894 S RIVER FRONT PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840955609",
"telephone_number": "801-878-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMDAD",
"first_name": "RUMIKA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.