Active NPI
Michael R Tumbarello DMD PA
- General Practice Dentistry
- Lexington, NC
National Provider Identifier
1689732505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6885
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 979550 | Other | UNITED CONCORDIA | |
| 9006A | Other | NC | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Dobson, NC
- NPI 1376685610
-
- General Practice Dentistry
- Lexington, NC
- NPI 1144150970
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.