Eastdale Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

4119 DS Issued in TN

Legal business name

EASTDALE FAMILY DENTISTRY

Doing business as

Thomas C Rumph D.M.D PC

Practice address

3210 Wilcox Blvd
Chattanooga, TN 37411-1071

Phone

(423) 622-4869

Fax

(423) 622-4875

NPI assigned

Dec 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas C. Rumph Jr., DMD

Title

Dentist

Phone

(423) 622-4869

Specialties & licenses 1

Addresses

Other names 1

• Thomas C Rumph D.M.D PC Doing business as

Tax ID family

Eastdale Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thomas C. Rumph

  • Non-emergency Medical Transport (VAN)
  • Chattanooga, TN
  • NPI 1962725317
  NPD tax ID

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1659674315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 WILCOX BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374111071",
            "telephone_number": "423-622-4869",
            "fax_number": "423-622-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 WILCOX BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374111071",
            "telephone_number": "423-622-4869",
            "fax_number": "423-622-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTDALE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "RUMPH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "423-622-4869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "4119 DS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas C Rumph D.M.D PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Tennessee Primary Care, Inc
• East TN Anesthesia Inc
• East TN Anesthesia, PLLC
• East TN Facial Surgery, Inc
• East TN Neurology LLC
• Jonathan Easter
• Brooke Andre' Easterly, LCSW
• Traci Valencia Eastman, APN
• Eastside Internal Medicine PC
• Eastside Pharmacy Inc

• Dentist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.