Active NPI
Jeffrey Harrel Cumberland, D.M.D.
- Dentist
- Richland, MS
National Provider Identifier
1295879625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2263-86
- Practice address
- 161 Scarbrough St
Richland, MS 39218-9027 - Phone
- (601) 939-1845
- Fax
- (601) 939-1807
- NPI assigned
- Feb 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2263-86 | MS | Primary |
Addresses
Primary practice location
161 Scarbrough St
Richland, MS 39218-9027
Mailing address
161 Scarbrough St
Richland, MS 39218-9027
Phone (601) 939-1845
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 |
|---|---|---|---|
| 2263-86 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295879625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 SCARBROUGH ST",
"city": "RICHLAND",
"state": "MS",
"postal_code": "392189027",
"telephone_number": "601-939-1845",
"fax_number": "601-939-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 SCARBROUGH ST",
"city": "RICHLAND",
"state": "MS",
"postal_code": "392189027",
"telephone_number": "601-939-1845",
"fax_number": "601-939-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMBERLAND",
"first_name": "JEFFREY",
"middle_name": "HARREL",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "2263-86",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, MS
- Craddock and Hyde Dental PLLC
- Craddock and Malley Dental PLLC
- Hillary Craddock, DMD
- Crossgates Hma Medical Group, LLC
- Crossgates Hma Medical Group, LLC
- Laquana Daniels
- Distinct Home Health Care Inc
- Drayer Physical Therapy Institute LLC
- Drayer Physical Therapy Jackson LLC
- East Metro Family Medical Clinic
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.