David Ralph Mumm, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10166 Issued in MN

Practice address

1706 11TH Ave N
Doctor'S Park
Saint Cloud, MN 56303-1200

Phone

(320) 252-8800

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ke Dental, PLLC

  • Dentist
  • St. Cloud, MN
  • NPI 1083841118
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457420432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 11TH AVE N",
            "address_2": "DOCTOR'S PARK",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031200",
            "telephone_number": "320-252-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 11TH AVE N",
            "address_2": "DOCTOR'S PARK",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563031200",
            "telephone_number": "320-252-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMM",
        "first_name": "DAVID",
        "middle_name": "RALPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "10166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Mullings
• McKenna Mullock
• Donna J Mumert, M.D.
• Amina Mumin
• Leyla Mumin, RD
• Jalyssa Mundell, RBT
• Murphy Chiropractic Inc
• Antoinette Murphy-Salaski, MS LP
• Terrence James Murphy, D.C.
• Murphy'S Board and Care Home

• General Practice Dentistry in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.