Active NPI
Alexander Tumeniuk, D.M.D.
- General Practice Dentistry
- Milford, CT
National Provider Identifier
1861584575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- CT007423
- Practice address
- 345 Boston Post Rd
Milford, CT 06460-2528 - Phone
- (203) 876-2696
- Fax
- (203) 877-6159
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | CT007423 | CT | Primary |
Addresses
Primary practice location
345 Boston Post Rd
Milford, CT 06460-2528
Mailing address
345 Boston Post Rd
Milford, CT 06460-2528
Phone (203) 799-3693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160203000927 | CT | Order and Referring Only - Dentist | 6608170188 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT007423 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1861584575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 BOSTON POST RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064602528",
"telephone_number": "203-799-3693",
"fax_number": "203-877-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 BOSTON POST RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064602528",
"telephone_number": "203-876-2696",
"fax_number": "203-877-6159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMENIUK",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "CT007423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.