Active NPI
Thomas C Rumph, DMD
- General Practice Dentistry
- Chattanooga, TN
National Provider Identifier
1710075288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4119DS
- Practice address
- 3210 Wilcox Blvd
Chattanooga, TN 37411-1071 - Phone
- (423) 622-4869
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4119DS | TN | Primary |
Addresses
Primary practice location
3210 Wilcox Blvd
Chattanooga, TN 37411-1071
Mailing address
3210 Wilcox Blvd
Chattanooga, TN 37411
Phone (423) 622-4869
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00940805A | Medicaid | GA | |
| 4652 | Medicaid | TN |
Other names 1
- Dr. Thomas C Rumph
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4119DS | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710075288",
"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": "37411",
"telephone_number": "423-622-4869"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMPH",
"first_name": "THOMAS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "4119DS",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00940805A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4652",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THOMAS",
"last_name": "RUMPH",
"middle_name": "C",
"prefix": "DR.",
"credential": "DMD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.