Individual provider Active NPI

Rohit Kumar, D.M.D.

  • Dentist
  • Roanoke, VA
National Provider Identifier
1487053518
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401416807 Issued in VA
Practice address
5002 Brambleton Ave Ste a
Roanoke, VA 24018-4607
Phone
(540) 874-0561
NPI assigned
Aug 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9790 NC
Dentist 122300000X 0401416807 VA Primary

Addresses

Primary practice location

5002 Brambleton Ave Ste a
Roanoke, VA 24018-4607

Mailing address

5002 Brambleton Ave Ste a
Roanoke, VA 24018-4607
Phone (540) 874-0561

Other practice location 1

18th Medical Group
Unit 5142
Apo, AP 96368-5142
Phone (315) 630-4780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 26, 2021 through May 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0401416807VAMDDentist
9790NCMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1487053518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 BRAMBLETON AVE STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184607",
            "telephone_number": "540-874-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 BRAMBLETON AVE STE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184607",
            "telephone_number": "540-874-0561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18th Medical Group",
            "address_2": "Unit 5142",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "963685142",
            "country_code": "US",
            "telephone_number": "315-630-4780",
            "country_name": "United States",
            "address_type": "MIL"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "ROHIT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "9790",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.