Organization Active NPI

Nataliya Jumonville DMD, PLLC

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1306566377
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NATALIYA JUMONVILLE DMD, PLLC
Practice address
4921 E Bell Rd Ste 108
Scottsdale, AZ 85254-6002
Phone
(602) 996-2690
Fax
(602) 996-4130
NPI assigned
Aug 31, 2022
Last updated
Aug 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Dr. Nataliya Pavlovna Jumonville, DMDNPI 1174149363
Title
Owner
Phone
(985) 246-0108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

4921 E Bell Rd Ste 108
Scottsdale, AZ 85254-6002

Mailing address

509 E Grandview St
Mesa, AZ 85203-3655
Phone (985) 246-0108

National Provider Directory

National Provider Directory

Locations

4921 E Bell Rd
Ste 108
Scottsdale, AZ 85254
Phone (602) 867-0111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1306566377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 E GRANDVIEW ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852033655",
            "telephone_number": "985-246-0108"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "NATALIYA JUMONVILLE DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "JUMONVILLE",
        "authorized_official_first_name": "NATALIYA",
        "authorized_official_middle_name": "PAVLOVNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-246-0108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 Aug 31, 2022; 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.