Michael Raymond Tumbarello, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6885 Issued in NC

Practice address

5569 Old US Highway 52
Lexington, NC 27295

Phone

(336) 619-4234

NPI assigned

Sep 11, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

State licenses

Practice roles

Locations

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.

• East Carolina University

  dba ECU Physicians

  • Family Medicine Physician
  • Greenville, NC
  • NPI 1972551919
  Medicare reassignment NPD
• East Carolina University

  • Internal Medicine Physician
  • Greenville, NC
  • NPI 1043260474
  NPD
• East Carolina University

  dba East Carolina University School of Dental Medicine

  • Dentist
  • Greenville, NC
  • NPI 1669750014
  NPD

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559433600000",
    "number": "1588768600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5569 OLD US HIGHWAY 52",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272956100",
            "telephone_number": "336-619-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5569 OLD US HIGHWAY 52",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "27295",
            "telephone_number": "336-619-4234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 S Crutchfield St",
            "address_purpose": "LOCATION",
            "city": "Dobson",
            "state": "NC",
            "postal_code": "270170765",
            "country_code": "US",
            "telephone_number": "336-386-8251",
            "fax_number": "336-386-9773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 S Crutchfield St",
            "address_purpose": "LOCATION",
            "city": "Dobson",
            "state": "NC",
            "postal_code": "270170765",
            "country_code": "US",
            "telephone_number": "336-386-8251",
            "fax_number": "336-386-9773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUMBARELLO",
        "first_name": "MICHAEL",
        "middle_name": "RAYMOND",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2019-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9006A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica R Tran, PCA
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• Katie M Twomley, M.D.
• Tyjean Moore LLC (Embracing Therapeutic Care)
• Umar Services, Inc (Lanier)
• Unique Services
• Unique Services of Lexington, Inc.

• General Practice Dentistry in Lexington, NC
• Providers in Lexington, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2019; 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.