Individual provider Active NPI

Armen L Tumanyan, D.M.D.

  • General Practice Dentistry
  • O'Fallon, MO
National Provider Identifier
1326053158
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Practice address
1654 Bryan Rd
O' Fallon, MO 63368-4897
Phone
(636) 978-4848
Fax
(636) 978-4862
NPI assigned
Jul 30, 2006
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
General Practice Dentistry 1223G0001X MO Primary

Addresses

Primary practice location

1654 Bryan Rd
O' Fallon, MO 63368-4897

Mailing address

1654 Bryan Rd
O' Fallon, MO 63368-4897
Phone (636) 978-4848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150507002602 MO Order and Referring Only - DentistPractitioner - Dentist 0345569612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
200201499MOMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326053158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 BRYAN RD",
            "city": "O' FALLON",
            "state": "MO",
            "postal_code": "633684897",
            "telephone_number": "636-978-4848",
            "fax_number": "636-978-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 BRYAN RD",
            "city": "O' FALLON",
            "state": "MO",
            "postal_code": "633684897",
            "telephone_number": "636-978-4848",
            "fax_number": "636-978-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMANYAN",
        "first_name": "ARMEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.