Eugenie C Sumarli, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

107833 Issued in CA

Practice address

1620 E 1St St Ste 200
Beaumont, CA 92223-3174

Phone

(951) 800-8095

NPI assigned

Aug 29, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Andrea Moore Dental Corporation

  • Dentist
  • Beaumont, CA
  • NPI 1154805117
  NPD (past)

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1497475784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26630 BARTON RD APT 718",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734325",
            "telephone_number": "714-770-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 E 1ST ST STE 200",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "922233174",
            "telephone_number": "951-800-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMARLI",
        "first_name": "EUGENIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eugenie.sumarli@pacden.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1620 E 1st St Ste 200",
            "city": "Beaumont",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922233174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danece R. Stapleton, LCSW
• Justin Stevenson, CRNA
• Leah S Stewart
• Camille Marie Stone, CNM
• Mukunthan Subramani
• Sun Medical Equipment Inc
• Faezeh Talebi Liasi, M.D.
• Talking Solutions Family Counseling Center Inc.
• Gurjit Kaur Talwar, FNP-BC
• Bianca Ayessa H Tan

• Dentist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.