Organization Active NPI

Renuka P Kumar DDS

  • Dental Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1942650973
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D03637 Issued in AZ
Legal business name
RENUKA P KUMAR DDS
Practice address
9295 E Thunderbird Rd Ste 103
Scottsdale, AZ 85260-4376
Phone
(480) 767-6918
Fax
(480) 767-7990
NPI assigned
Jun 21, 2016
Last updated
Jun 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Dr. Renuka Prem Kumar, DDSNPI 1629065420
Title
President
Phone
(480) 767-6918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D03637 AZ Primary

Addresses

Primary practice location

9295 E Thunderbird Rd Ste 103
Scottsdale, AZ 85260-4376

Mailing address

9295 E Thunderbird Rd Ste 103
Scottsdale, AZ 85260-4376
Phone (480) 767-6918

National Provider Directory

National Provider Directory

Locations

9295 E Thunderbird Rd
Ste 103
Scottsdale, AZ 85260
Phone (480) 767-6918

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1942650973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 E THUNDERBIRD RD STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604376",
            "telephone_number": "480-767-6918",
            "fax_number": "480-767-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9295 E THUNDERBIRD RD STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604376",
            "telephone_number": "480-767-6918",
            "fax_number": "480-767-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENUKA P KUMAR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "RENUKA",
        "authorized_official_middle_name": "PREM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-767-6918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D03637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; 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.