KARISSA A RUMPLE (NPI# 1083023055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083023055 |
Entity Type | Individual |
Full Name | KARISSA A RUMPLE |
Credential | DDS |
Practice Address |
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302 |
Practice Telephone | 8508838600 |
Mailing Telephone | 8508838600 |
Enumeration Date | 2014-08-04 |
Last Update Date | 2019-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30194 | TX | Dental Providers |
Street Address |
307 BOATNER RD STE 114 |
City | EGLIN AFB |
State | FL |
Zip Code | 32542-1302 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134111453 | Thomas James Cantilina | Family Medicine | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2005-08-23 |
1861009466 | Patricia Allison Kellogg | Dietitian, Registered | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-09-28 |
1396367389 | Matthew Christopher Little | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-05-12 |
1750916961 | Joseph Roland Adamson | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-03-08 |
1447885181 | Deserea Marie Shoemaker | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1282 | 2020-03-03 |
1457985764 | Anaya Baeza | Nurse Practitioner | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2020-02-25 |
1043853435 | Sandra K Hoffa | Social Worker | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-10-18 |
1861042624 | Amy W Snow | Pharmacist | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-09-13 |
1760042501 | Alison Natalie Snyder | Student in an Organized Health Care Education/Training Program | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-06-14 |
1689237232 | Clint Copeland | Physical Therapist | 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 | 2019-04-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417440306 | Colt Sicher | Student in an Organized Health Care Education/Training Program | 96th Dental Squadron (afmc), Eglin Afb, Fl 32542, Apo, AA 32542 | 2018-06-14 |
1841679529 | Matthew Scurria | Dentist | 340 Boatner Rd. Bldg 2751, 96 Dental Squadron/sgdr, Eglin Afb, FL 32542 | 2015-05-27 |
1134518798 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 3120 A. Talon Way, Eglin Afb Fld #3, FL 32542 | 2015-01-20 |
1598177123 | 96th Medical Support Squadron | Military/U.S. Coast Guard Pharmacy | 96 Medical Group Satellite Phcy Memorial Trail, Bldg. 1758, Eglin Afb, FL 32542 | 2014-06-02 |
1548602923 | Gerald Jordan Novack | Psychologist | 96mdos/sgow, 307 Boatner Rd, Fpo, AP 32542 | 2013-07-25 |
1699112821 | Taylor Anne Hahn | Obstetrics & Gynecology | 96th Medical Group, 307 Boatner Road, Eglin Air Force Base, FL 32542 | 2013-05-29 |
1730456948 | Nicholas Brandon Sager | Dentist | 340 Boatner Rd, Eglin Afb, Apo, AA 32542 | 2011-11-17 |
1134402662 | Jessamy Jae Thornton | Student in an Organized Health Care Education/Training Program | 340 Boatner Rd, Bldg 2751, Eglin Afb, FL 32542 | 2011-09-21 |
1346523974 | Mary Elizabeth Sorrentino | Dentist | 340 Boatner Road, Blgd. 2751, Eglin Afb, FL 32542 | 2011-09-20 |
1588945612 | Martin Army Community Hospital | Clinic/Center | 4327 North El Salvador Way, Eglin Afb, FL 32542 | 2011-09-02 |
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Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205812583 | Ernesto Jose Torres | Dentist | 307 Boatner Rd Ste 114, 96 Dental Squadron, Eglin Afb, FL 32542-1302 | 2005-12-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346862786 | Mikhail Daya Dmd Pa | Dentist | 500 Knights Run Ave Unit 1714, Tampa, FL 33602-6017 | 2020-05-08 |
1578114443 | South Florida Jaw and Facial Surgery-dental Implants Center Pa | Dentist | 7600 S Red Rd Ste 101, South Miami, FL 33143-5429 | 2019-09-23 |
1437703535 | Ambiance Surgical Arts Center | Dentist | 8501 Sw 124th Ave Ste 208, Miami, FL 33183-4633 | 2019-07-26 |
1053979997 | Anand R Patel | Dentist | 1395 Center Dr # D1-56a, Gainesville, FL 32610-3006 | 2019-06-05 |
1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
1952871030 | Harvey Mossak Oral & Maxillofacial Surgery, Pllc | Dentist | 1211 E Kennedy Blvd Unit 223, Tampa, FL 33602-3559 | 2018-11-30 |
1093283582 | Keith H. Kaner, Dds, Pa | Dentist | 9250 Glades Rd Ste 207, Boca Raton, FL 33434-3958 | 2018-11-02 |
1750858015 | Hebah Omar Aljuhani | Dentist | 253 Ne 2nd St Apt 613, Miami, FL 33132-2289 | 2018-10-25 |
1972089431 | Plantation Dental and Anesthesia Associates | Dentist | 300 Nw 70th Ave Ste 104, Plantation, FL 33317-2360 | 2018-07-17 |
1871079921 | Paul Amailuk | Dentist | 9333 Sw 152nd Street, Oral and Maxillofacial Surgery Department, Miami, FL 33157 | 2018-07-12 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.