MIKELE CHRISTINE RUMBAUGH DDS
NPI 1093563991
Dentist in Othello, WA

Q: What is Mikele Rumbaugh's NPI number?

The NPI number for Mikele Rumbaugh is 1093563991. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Q: What is Mikele Rumbaugh's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mikele Rumbaugh was last updated on June 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 07, 2024PECOS Enrolled

1515 E COLUMBIA ST, OTHELLO, WA 99344(509) 488-5256(509) 488-9939 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 12, 2025, May 7, 2024 (2 updates tracked since 2024).

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About Mikele Christine Rumbaugh Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKELE CHRISTINE RUMBAUGH DDS (NPI 1093563991) is an individual dentist in Othello, Washington, licensed in Washington (DE61675552) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1093563991

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameMIKELE CHRISTINE RUMBAUGHCredential: DDS

Location Address1515 E COLUMBIA STOthello, WA 99344-1846

Mailing Address50 N Medical DrSalt Lake City, UT 84132-0001

Phone(509) 488-5256

Fax(509) 488-9939

Sole ProprietorNo

Enumeration DateMay 7, 2024

Last NPPES UpdateJune 12, 20252 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1093563991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE61675552

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1515 E COLUMBIA ST, Othello, WA 99344

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Secondary Practice Location 1

Location 150 N Medical DrSalt Lake City, UT 84132-0001 · Phone (801) 587-6453

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, HRI Dental & Vision, Humana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikele Christine Rumbaugh Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99344 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA ELY

Nurse Practitioner (Family)