Individual provider Active NPI

Laura A Tumminia, RDH

  • Dental Hygienist
  • Webster Groves, MO
National Provider Identifier
1720103690
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
002422 Issued in MO
Practice address
189 Baker
Webster Dental Care
Webster Groves, MO 63119
Phone
(314) 961-1160
Fax
(314) 961-7822
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 002422 MO Primary

Addresses

Primary practice location

189 Baker
Webster Dental Care
Webster Groves, MO 63119

Mailing address

6096 East Jamieson Ave
St Louis, MO 63109-3313
Phone (314) 351-8866

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

LicenseStateTypeSpecialty
002422MOMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Webster Dental Care Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720103690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6096 EAST JAMIESON AVE",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "631093313",
            "telephone_number": "314-351-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 BAKER",
            "address_2": "WEBSTER DENTAL CARE",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "63119",
            "telephone_number": "314-961-1160",
            "fax_number": "314-961-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMINIA",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "002422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Groves, MO

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.

Verify at the official NPI Registry.