Active NPI
Mark Rumsch Johnson, DDS
- Dentist
- Wakefield, RI
National Provider Identifier
1326213604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- RI01870
- Practice address
- 24 Salt Pond Road
Suite B-2
Wakefield, RI 02879 - Phone
- (401) 783-1525
- Fax
- (401) 783-2036
- NPI assigned
- Apr 28, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | RI01870 | RI | Primary |
Addresses
Primary practice location
24 Salt Pond Road
Suite B-2
Wakefield, RI 02879
Mailing address
24 Salt Pond Road
Suite B-2
Wakefield, RI 02879
Phone (401) 783-1525
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 |
|---|---|---|---|
| RI01870 | RI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209340800000",
"number": "1326213604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 SALT POND ROAD",
"address_2": "SUITE B-2",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "02879",
"telephone_number": "401-783-1525",
"fax_number": "401-783-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 SALT POND ROAD",
"address_2": "SUITE B-2",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "02879",
"telephone_number": "401-783-1525",
"fax_number": "401-783-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARK",
"middle_name": "RUMSCH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-28",
"last_updated": "2008-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "RI01870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.