Individual provider Active NPI

Jeffrey Harrel Cumberland, D.M.D.

  • Dentist
  • Richland, MS
National Provider Identifier
1295879625
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2263-86 Issued in MS
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2263-86MSMDDentist

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

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.

Verify at the official NPI Registry.