Individual provider Active NPI

Cynthia Ann Mumma, D.D.S.

  • Dentist
  • Wilmington, DE
National Provider Identifier
1952454837
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
946 Issued in DE
Practice address
4543 Stoney Batter Rd
Wilmington, DE 19808-1286
Phone
(302) 239-1641
Fax
(302) 239-1643
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 946 DE Primary

Addresses

Primary practice location

4543 Stoney Batter Rd
Wilmington, DE 19808-1286

Mailing address

4543 Stoney Batter Rd
Wilmington, DE 19808-1286
Phone (302) 239-1641

Other identifiers 1

IdentifierTypeStateIssuer
1000023540MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201002550 DE Order and Referring Only - DentistPractitioner - Dentist 5698079366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
946DEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
All About Smiles, P.a. 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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1952454837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4543 STONEY BATTER RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081286",
            "telephone_number": "302-239-1641",
            "fax_number": "302-239-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4543 STONEY BATTER RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198081286",
            "telephone_number": "302-239-1641",
            "fax_number": "302-239-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMMA",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000023540",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.