Active NPI
Rohit Kumar, D.M.D.
- Dentist
- Roanoke, VA
National Provider Identifier
1487053518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401416807
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416807 | VA | MD | Dentist |
| 9790 | NC | MD | Speech-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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.