Active NPI
Michael Louis Jumes, DDS
- Dentist
- Cudahy, WI
National Provider Identifier
1649618497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7083-15
- Practice address
- 6217 S Packard Ave
Cudahy, WI 53110-3096 - Phone
- (414) 764-5550
- NPI assigned
- Jun 13, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7083-15 | WI | Primary |
Addresses
Primary practice location
6217 S Packard Ave
Cudahy, WI 53110-3096
Mailing address
716 N 9TH St
Sheboygan, WI 53081-4516
Phone (920) 627-2743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160218000790 | WI | Order and Referring Only - Other (Physician) | 2264737915 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7083-15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1649618497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 N 9TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530814516",
"telephone_number": "920-627-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6217 S PACKARD AVE",
"city": "CUDAHY",
"state": "WI",
"postal_code": "531103096",
"telephone_number": "414-764-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMES",
"first_name": "MICHAEL",
"middle_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-13",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "7083-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cudahy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.