Active NPI
Richard Allen Chumbler, DMD
- Dentist
- North Ft Myers, FL
National Provider Identifier
1154412112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN10009
- Practice address
- 88 Pine Island Rd NE
Suite 1
North Ft Myers, FL 33903 - Phone
- (239) 997-3387
- Fax
- (239) 995-2277
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 | DN10009 | FL | Primary |
Addresses
Primary practice location
88 Pine Island Rd NE
Suite 1
North Ft Myers, FL 33903
Mailing address
88 Pine Island Rd NE
Suite 1
North Ft Myers, FL 33903
Phone (239) 997-3387
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 |
|---|---|---|---|
| DN10009 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154412112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 PINE ISLAND RD NE",
"address_2": "SUITE 1",
"city": "NORTH FT MYERS",
"state": "FL",
"postal_code": "33903",
"telephone_number": "239-997-3387",
"fax_number": "239-995-2277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 PINE ISLAND RD NE",
"address_2": "SUITE 1",
"city": "NORTH FT MYERS",
"state": "FL",
"postal_code": "33903",
"telephone_number": "239-997-3387",
"fax_number": "239-995-2277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUMBLER",
"first_name": "RICHARD",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN10009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Ft Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.