Active NPI
Daniel Eric Stump, M.D.
- Diagnostic Radiology Physician
- Aventura, FL
National Provider Identifier
1376939439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35031911
- Practice address
- 19195 Mystic Pointe Dr PH 10
Aventura, FL 33180-4545 - Phone
- (330) 317-1458
- NPI assigned
- Apr 15, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35031911 | OH | Primary |
Addresses
Primary practice location
19195 Mystic Pointe Dr PH 10
Aventura, FL 33180-4545
Mailing address
19195 Mystic Pointe Dr PH 10
Aventura, FL 33180-4545
Phone (330) 317-1458
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35031911 | OH | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1376939439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19195 MYSTIC POINTE DR PH 10",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331804545",
"telephone_number": "330-317-1458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19195 MYSTIC POINTE DR PH 10",
"city": "AVENTURA",
"state": "FL",
"postal_code": "331804545",
"telephone_number": "330-317-1458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMP",
"first_name": "DANIEL",
"middle_name": "ERIC",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-15",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35031911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aventura, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.