Rosalynn Jane Mumpower, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D11131 Issued in OR

Practice address

1290 Geary St SE
Albany, OR 97322-6833

Phone

(541) 971-4095

NPI assigned

Aug 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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 and National Provider Directory roles.

• Livingston DDS of Oregon LLC

  • General Practice Dentistry
  • Albany, OR
  • NPI 1417461328
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1669028452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 GEARY ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973226833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 GEARY ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973226833",
            "telephone_number": "541-971-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMPOWER",
        "first_name": "ROSALYNN",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11131",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11131",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaity Mowdy
• Parker Del Mowdy
• Daniel D. Mulkey, M.D.
• Jeanne Mullally, LCSW
• Spencer Alan Mullins, LPN
• Molly Murphy
• Emma Suzuki Murugaverl
• Branden Shane William Myers
• Michael Lynn Myers, PHD
• Courtney Ann Nakashima

• Dentist in Albany, OR
• Providers in Albany, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.