Ricahrd P Shumate, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.023494 Issued in OH

Practice address

5012 Talmadge Rd
Toledo, OH 43623-2167

Phone

(419) 474-9611

Fax

(419) 474-1902

NPI assigned

Jul 14, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Premier Care Dentistry of Ohio LLC

  • Dentist
  • Toledo, OH
  • NPI 1588545933
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1134417827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9718 FAIRMEADOWS LN",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719018",
            "telephone_number": "419-215-7239",
            "fax_number": "419-474-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 TALMADGE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232167",
            "telephone_number": "419-474-9611",
            "fax_number": "419-474-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "RICAHRD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Mae Shull-Diener, CNP
• Sayler M Shull
• Shuller & Kravitz, Inc.
• Briana N Shumake, LSW
• Ideshia La'Veen Marie Shumaker
• Mel R Shumpert Jr.
• Khaled Shunnar, M.D.
• Gracyn A Shupp
• Shuqair Transportations
• Cherilyn Marie Shurtz, M.D.

• Dentist in Toledo, OH
• Providers in Toledo, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.