Active NPI
Joanne M Rummelhart, DDS
- Dentist
- Madison, WI
National Provider Identifier
1427003383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3628
- Practice address
- 7017 Old Sauk Rd
Madison, WI 53717 - Phone
- (608) 833-1889
- Fax
- (608) 662-7414
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3628 | WI | Primary |
| Periodontics | 1223P0300X | 3628-015 | WI |
Addresses
Primary practice location
7017 Old Sauk Rd
Madison, WI 53717
Mailing address
2971 Chapel Valley Rd
Suite 100
Madison, WI 53711
Phone (608) 661-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33765100 | Medicaid | WV |
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 |
|---|---|---|---|
| 3628-015 | WI | MD | Periodontist |
| 3628 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1427003383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2971 CHAPEL VALLEY RD",
"address_2": "SUITE 100",
"city": "MADISON",
"state": "WI",
"postal_code": "53711",
"telephone_number": "608-661-6400",
"fax_number": "608-661-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7017 OLD SAUK RD",
"city": "MADISON",
"state": "WI",
"postal_code": "53717",
"telephone_number": "608-833-1889",
"fax_number": "608-662-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMMELHART",
"first_name": "JOANNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "3628",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WI",
"license": "3628-015",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33765100",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.