Active NPI
Rasha T Juma, D.D.S
- Dentist
- Wentzville, MO
National Provider Identifier
1134552235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2013018604
- Practice address
- 1032 Crosswinds CT
Wentzville, MO 63385-4836 - Phone
- (636) 332-8318
- NPI assigned
- Aug 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 61012 | KS | |
| Dentist | 122300000X | 2013018604 | MO | Primary |
Addresses
Primary practice location
1032 Crosswinds CT
Wentzville, MO 63385-4836
Mailing address
1800 Community
Clinton, MO 64735-8804
Phone (660) 885-8131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134552235 | Medicaid | MO |
Other names 1
- Dr. Rasha Mohammed Ali
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 |
|---|---|---|---|
| 61012 | KS | MD | Dentist |
| 2013018604 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1134552235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 COMMUNITY",
"city": "CLINTON",
"state": "MO",
"postal_code": "647358804",
"telephone_number": "660-885-8131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 CROSSWINDS CT",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633854836",
"telephone_number": "636-332-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMA",
"first_name": "RASHA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-13",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "61012",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2013018604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134552235",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RASHA",
"last_name": "MOHAMMED ALI",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.