Active NPI
Kimon Arthur Rumanes, D.D.S.
- General Practice Dentistry
- Bethesda, MD
National Provider Identifier
1619969102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401008188
- Practice address
- Walter Reed National Military Ctr
8901 Wisconsin Ave.
Bethesda, MD 20889-0001 - Phone
- (301) 295-4011
- NPI assigned
- Aug 19, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 011857 | MI | |
| General Practice Dentistry | 1223G0001X | 28079 | CA | |
| General Practice Dentistry | 1223G0001X | 0401008188 | VA | Primary |
Addresses
Primary practice location
Walter Reed National Military Ctr
8901 Wisconsin Ave.
Bethesda, MD 20889-0001
Mailing address
13132 Bradley Farm Dr
Herndon, VA 20171-3827
Phone (703) 437-3156
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28079 | CA | MD | General Practice Dentistry |
| 011857 | MI | MD | General Practice Dentistry |
| 0401008188 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1619969102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13132 BRADLEY FARM DR",
"city": "HERNDON",
"state": "VA",
"postal_code": "201713827",
"telephone_number": "703-437-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WALTER REED NATIONAL MILITARY CTR",
"address_2": "8901 WISCONSIN AVE.",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMANES",
"first_name": "KIMON",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "011857",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "28079",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401008188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.