Organization Active NPI

Jeffery L Rumley DDS PA

  • General Practice Dentistry
  • Washington, NC
National Provider Identifier
1215108121
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6086 Issued in NC
Legal business name
JEFFERY L RUMLEY DDS PA
Practice address
1103 Brown St
Washington, NC 27889-3766
Phone
(252) 946-4975
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jeffery Lane Rumley, DDS
Title
Owner
Phone
(252) 946-4975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6086 NC Primary

Addresses

Primary practice location

1103 Brown St
Washington, NC 27889-3766

Mailing address

1103 Brown St
Washington, NC 27889-3766
Phone (252) 946-4975

Other identifiers 1

IdentifierTypeStateIssuer
8997524MedicaidNC

National Provider Directory

National Provider Directory

Locations

1103 Brown St
Washington, NC 27889
Phone (252) 946-2988

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1215108121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893766",
            "telephone_number": "252-946-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893766",
            "telephone_number": "252-946-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY L RUMLEY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "RUMLEY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-946-4975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997524",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.