Individual provider Active NPI

Renuka Prem Kumar

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1629065420
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3637 Issued in AZ
Practice address
9295 E Thunderbird Rd
#103
Scottsdale, AZ 85260-4376
Phone
(480) 767-6918
Fax
(480) 767-7990
NPI assigned
Oct 5, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3637 AZ Primary

Addresses

Primary practice location

9295 E Thunderbird Rd
#103
Scottsdale, AZ 85260-4376

Mailing address

9295 E Thunderbird Rd
#103
Scottsdale, AZ 85260-4376
Phone (480) 767-6918

Other names 1

  • Dr. Renuka Prem Kumar Professional name

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
3637AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Renuka P Kumar DDS Past Accepting new patients

Organizations & group practices 1

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629065420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 E THUNDERBIRD RD",
            "address_2": "#103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604376",
            "telephone_number": "480-767-6918",
            "fax_number": "480-767-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9295 E THUNDERBIRD RD",
            "address_2": "#103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604376",
            "telephone_number": "480-767-6918",
            "fax_number": "480-767-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "RENUKA",
        "middle_name": "PREM",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENUKA",
            "last_name": "KUMAR",
            "middle_name": "PREM",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.