Organization Active NPI

Michael R Tumbarello DMD PA

  • General Practice Dentistry
  • Lexington, NC
National Provider Identifier
1689732505
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6885 Issued in NC
Legal business name
MICHAEL R TUMBARELLO DMD PA
Practice address
5569 Old US Highway 52
Lexington, NC 27295-6100
Phone
(336) 619-4234
NPI assigned
Dec 4, 2006
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mrs. Robyn L Tumbarello
Title
Office Manager
Phone
(336) 619-4234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6885 NC Primary

Addresses

Primary practice location

5569 Old US Highway 52
Lexington, NC 27295-6100

Mailing address

214 S Crutchfield Street
Dobson, NC 27107-0765
Phone (336) 386-8251

Other practice location 1

214 S Crutchfield St
Dobson, NC 27017-0765
Phone (336) 386-8251

Other identifiers 2

IdentifierTypeStateIssuer
979550OtherUNITED CONCORDIA
9006AOtherNCBCBS

National Provider Directory

National Provider Directory

Locations

5569 Old US Highway 52
Lexington, NC 27295
Phone (336) 619-4234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1689732505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 S CRUTCHFIELD STREET",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "271070765",
            "telephone_number": "336-386-8251",
            "fax_number": "336-386-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5569 OLD US HIGHWAY 52",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272956100",
            "telephone_number": "336-619-4234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 S CRUTCHFIELD ST",
            "address_purpose": "LOCATION",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270170765",
            "country_code": "US",
            "telephone_number": "336-386-8251",
            "fax_number": "336-386-9773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL R TUMBARELLO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "TUMBARELLO",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-619-4234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "979550",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9006A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.