Individual provider Active NPI

Tameika Bumbury, RDH

  • Dental Hygienist
  • Brooklyn, NY
National Provider Identifier
1518663178
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
8287 Issued in CT
Practice address
472 5TH Ave
Brooklyn, NY 11215-4004
Phone
(718) 965-1144
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 11532 SC
Dental Hygienist 124Q00000X DH043975 GA
Dental Hygienist 124Q00000X 027983 NY
Dental Hygienist 124Q00000X 8287 CT Primary

Addresses

Primary practice location

472 5TH Ave
Brooklyn, NY 11215-4004

Mailing address

185 20TH St Apt 8
Brooklyn, NY 11232-4416
Phone (646) 203-9484

Other practice location 1

402 Court St
Brooklyn, NY 11231-4206
Phone (718) 834-1446

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

LicenseStateTypeSpecialty
DH043975GAMDDental Hygienist
11532SCMDDental Hygienist
027983NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Noble Dental Care, PC CurrentSince Apr 23, 2023 Accepting new patients
Wisdome Staff LLC Dental Hygienist CurrentSince Apr 9, 2023 Accepting new patients
Carroll Gardens Dental Associates, P.C. Past Accepting new patients

Locations

472 5th Ave
Brooklyn, NY 11215
Phone (718) 965-1144

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1518663178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 20TH ST APT 8",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112324416",
            "telephone_number": "646-203-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112154004",
            "telephone_number": "718-965-1144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Court St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112314206",
            "country_code": "US",
            "telephone_number": "718-834-1446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMBURY",
        "first_name": "TAMEIKA",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "SC",
            "license": "11532",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH043975",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "027983",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "8287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.