James M Sumilat, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38785 Issued in CA

Practice address

2035 E Highland Ave Ste B
San Bernardino, CA 92404-4600

Phone

(909) 864-7200

NPI assigned

Oct 26, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Sumilat DDS, Inc.

  • General Practice Dentistry
  • Moreno Valley, CA
  • NPI 1790325140
  NPD Authorized official
• James Sumilat, D.D.S., Inc

  • General Practice Dentistry
  • San Bernardino, CA
  • NPI 1376600510
  NPD (past) Authorized official

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1679752653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 E HIGHLAND AVE STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044600",
            "telephone_number": "909-864-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 E HIGHLAND AVE STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044600",
            "telephone_number": "909-864-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMILAT",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wijaya Sulaeman, D.D.S., M.A.G.D.
• E'Bonique A Sullivan
• Temeka Sullivan
• Rosdy Sultan
• Godofreda Sumalangcay, M.D.
• Kandavin Sumilat
• Kennedy Sumlar
• Jason Sun, DMD
• Sunbridge Shandin Hills Rehabilition Center
• Suneal Naik DDS Inc

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.

Verify at the official NPI Registry.