Individual provider Active NPI

Jodi E Rump, DDS

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1376686899
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS7994 Issued in TN
Practice address
99 S Main St
Memphis, TN 38103-2910
Phone
(901) 527-0716
Fax
(901) 527-0718
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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 DS7994 TN Primary

Addresses

Primary practice location

99 S Main St
Memphis, TN 38103-2910

Mailing address

99 S Main St
Memphis, TN 38103-2910
Phone (901) 527-0716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20150608002930 GA Order and Referring Only - DentistPractitioner - Dentist 4284954363

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS7994TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jer LLC PastSince Feb 2, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429488000000",
    "number": "1376686899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 S MAIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032910",
            "telephone_number": "901-527-0716",
            "fax_number": "901-527-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S MAIN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032910",
            "telephone_number": "901-527-0716",
            "fax_number": "901-527-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMP",
        "first_name": "JODI",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2015-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS7994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.