Active NPI
Lisa Kristine Cummins, D.M.D.
- Dentist
- Bala Cynwyd, PA
National Provider Identifier
1942513502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS026346L
- Practice address
- 25 Bala Ave
Suite 105
Bala Cynwyd, PA 19004-3213 - Phone
- (610) 664-5644
- NPI assigned
- Jul 23, 2010
- Last updated
- Jul 23, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS026346L | PA | Primary |
Addresses
Primary practice location
25 Bala Ave
Suite 105
Bala Cynwyd, PA 19004-3213
Mailing address
25 Bala Ave
Suite 105
Bala Cynwyd, PA 19004-3213
Phone (610) 664-5644
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 |
|---|---|---|---|
| DS026346L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1942513502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BALA AVE",
"address_2": "SUITE 105",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043213",
"telephone_number": "610-664-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BALA AVE",
"address_2": "SUITE 105",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043213",
"telephone_number": "610-664-5644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINS",
"first_name": "LISA",
"middle_name": "KRISTINE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS026346L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.