Active NPI
Sowmya Rao Kumar, DMD
- General Practice Dentistry
- Rockledge, FL
National Provider Identifier
1316354467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN20631
- Practice address
- 2070 US Highway 1 Ste 101
Rockledge, FL 32955-3745 - Phone
- (321) 631-4334
- NPI assigned
- Jul 21, 2014
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN20631 | FL | Primary |
Addresses
Primary practice location
2070 US Highway 1 Ste 101
Rockledge, FL 32955-3745
Mailing address
2070 US Highway 1 Ste 101
Rockledge, FL 32955-3745
Phone (321) 631-4334
Other practice location 1
660 E Eau Gallie Blvd
Suite 1
Indian Harbour Beach, FL 32937-4252
Phone (321) 777-7474
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 |
|---|---|---|---|
| DN20631 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Image Dentistry of Beachside | Past | Accepting new patients | |
| Professional Dental Alliance of Beachside, PLLC | Past | Accepting new patients | |
| Skanda Dental PA | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Indian Harbour Beach, FL
- NPI 1588078356
-
dba New Image Dentistry Beachside
- Dentist
- Indian Harbour Beach, FL
- NPI 1669951489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1316354467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 US HIGHWAY 1 STE 101",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553745",
"telephone_number": "321-631-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 US HIGHWAY 1 STE 101",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329553745",
"telephone_number": "321-631-4334"
}
],
"practiceLocations": [
{
"address_1": "660 E Eau Gallie Blvd",
"address_2": "Suite 1",
"address_purpose": "LOCATION",
"city": "Indian Harbour Beach",
"state": "FL",
"postal_code": "329374252",
"country_code": "US",
"telephone_number": "321-777-7474",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMAR",
"first_name": "SOWMYA",
"middle_name": "RAO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN20631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.