Individual provider Active NPI

Ce'Cile Dorothy Dumerve, M.D.

  • Pediatrics Physician
  • Sheffield, AL
National Provider Identifier
1619165248
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
28383 Issued in AL
Practice address
1120 S Jackson Hwy
Suite 304
Sheffield, AL 35660-5777
Phone
(256) 386-4151
Fax
(256) 383-7293
NPI assigned
Oct 9, 2007
Last updated
Oct 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 28383 AL Primary

Addresses

Primary practice location

1120 S Jackson Hwy
Suite 304
Sheffield, AL 35660-5777

Mailing address

1120 S Jackson Hwy
Suite 304
Sheffield, AL 35660-5777
Phone (256) 386-4151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140620001625 AZ Practitioner - Pediatric Medicine 4385868918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28383ALMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Kids Pediatrics P.C. Pediatrics CurrentSince Apr 23, 2021 Accepting new patients
Happy Kids Pediatrics P.C. Pediatrics CurrentSince Apr 23, 2021 Accepting new patients

Locations

1033 N Arizona Ave
Chandler, AZ 85225
Phone (480) 855-8829

6710 W Camelback Rd
Ste A
Glendale, AZ 85303

1157 S Crismon Rd
Ste 102
Mesa, AZ 85208
Phone (480) 776-3790

1157 S Crismon Rd
Unit 102
Mesa, AZ 85208

1345 E Main St
Ste 103
Mesa, AZ 85203
Phone (480) 223-0290

1345 E Main St
Ste 104
Mesa, AZ 85203
Phone (480) 300-4741

1311 E Thomas Rd
Phoenix, AZ 85014
Phone (602) 322-1315

3415 W Glendale Ave
Ste 32A
Phoenix, AZ 85051
Phone (602) 246-7462

6036 N 19th Ave
Ste 201
Phoenix, AZ 85015
Phone (602) 246-7462

825 W Southern Ave
Ste 106
Phoenix, AZ 85041
Phone (602) 243-3429

2033 E Warner Rd
Ste 109
Tempe, AZ 85284
Phone (480) 820-5525

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1619165248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY",
            "address_2": "SUITE 304",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605777",
            "telephone_number": "256-386-4151",
            "fax_number": "256-383-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S JACKSON HWY",
            "address_2": "SUITE 304",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356605777",
            "telephone_number": "256-386-4151",
            "fax_number": "256-383-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMERVE",
        "first_name": "CE'CILE",
        "middle_name": "DOROTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "28383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.