Active NPI
Nataliya Pavlovna Jumonville, DMD
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1174149363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D011045
- Practice address
- 4921 E Bell Rd Ste 108
Scottsdale, AZ 85254-6002 - Phone
- (602) 996-2690
- Fax
- (602) 996-4130
- NPI assigned
- Jun 23, 2020
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7107 | LA | |
| General Practice Dentistry | 1223G0001X | D011045 | AZ | Primary |
Addresses
Primary practice location
4921 E Bell Rd Ste 108
Scottsdale, AZ 85254-6002
Mailing address
4921 E Bell Rd Ste 108
Scottsdale, AZ 85254-6002
Phone (602) 996-2690
Other practice location 1
1708 Mlk Jr Blvd Ste 101
Houma, LA 70360-2408
Phone (985) 746-9886
Other practice location 2
2240 Veterans Memorial Blvd
Kenner, LA 70062-5673
Phone (504) 666-9518
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 |
|---|---|---|---|
| 7107 | LA | MD | Social Worker |
| D011045 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nataliya Jumonville DMD, PLLC | General Practice | Current | Accepting new patients |
Locations
4921 E Bell Rd
Ste 108
Scottsdale, AZ 85254
Phone (602) 867-0111
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.
-
- General Practice Dentistry
- Scottsdale, AZ
- NPI 1306566377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1174149363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 E BELL RD STE 108",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852546002",
"telephone_number": "602-996-2690",
"fax_number": "602-996-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 E BELL RD STE 108",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852546002",
"telephone_number": "602-996-2690",
"fax_number": "602-996-4130"
}
],
"practiceLocations": [
{
"address_1": "1708 Mlk Jr Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Houma",
"state": "LA",
"postal_code": "703602408",
"country_code": "US",
"telephone_number": "985-746-9886",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2240 Veterans Memorial Blvd",
"address_purpose": "LOCATION",
"city": "Kenner",
"state": "LA",
"postal_code": "700625673",
"country_code": "US",
"telephone_number": "504-666-9518",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUMONVILLE",
"first_name": "NATALIYA",
"middle_name": "PAVLOVNA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-23",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "7107",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D011045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.