William Wayne Mumby, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7613 Issued in MD

Practice address

3639 Liberty Heights Ave
Baltimore, MD 21215-7139

Phone

(410) 664-9200

Fax

(410) 664-2560

NPI assigned

May 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210550400000",
    "number": "1306013164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3639 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157175",
            "telephone_number": "410-664-9200",
            "fax_number": "410-664-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3639 LIBERTY HEIGHTS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212157139",
            "telephone_number": "410-664-9200",
            "fax_number": "410-664-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMBY",
        "first_name": "WILLIAM",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "7613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Multiple Care & Community Support Services, Inc
• Multiple Health and Behavioral Care Services Inc
• Mulu Transportation
• Mara Mulvaney
• Claudette Ngum Muma, CRNA
• James Ryan Mumford
• Kelsey Caroline Mumford
• Aisha Amber Mumtaz, M.D.
• Anwar Mumtaz, M.D.
• Hania Mumtaz, MD

• General Practice Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.