Paul Pumilia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6793 Issued in LA

Practice address

180 Gloria Dr Ste 400
Moss Bluff, LA 70611-5055

Phone

(337) 429-5057

NPI assigned

Jun 12, 2017

Last updated

Nov 30, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Robinson Dental Group

  • General Practice Dentistry
  • Lake Charles, LA
  • NPI 1427476860
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1649700725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 APRICOT ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700012408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GLORIA DR STE 400",
            "city": "MOSS BLUFF",
            "state": "LA",
            "postal_code": "706115055",
            "telephone_number": "337-429-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUMILIA",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-12",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Manuel
• Joshua Morehead
• Mark Kwame Osebre, PHARMACIST
• Shionka S Patterson, PHARM. D.
• Sinh Pham
• Kristin Rena Quintela, DPT
• Joseph Romero, DPT
• Matthew Hunter Schexnider, D.C.
• Robert Dale Spencer, P.A.
• Lori Tarver, FNP

• General Practice Dentistry in Moss Bluff, LA
• Providers in Moss Bluff, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.