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DR. DOLRUDEE JUMLONGRAS DDS
NPI 1326285768
Dentist - Pediatric Dentistry in Detroit, MI

Active since January 07, 2009PECOS Enrolled
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208(312) 953-1532 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dolrudee Jumlongras Dds NPPES

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

DR. DOLRUDEE JUMLONGRAS DDS (NPI 1326285768) is an individual pediatric dentistry provider in Detroit, Michigan, licensed in Michigan (2901601983) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326285768
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. DOLRUDEE JUMLONGRASCredential: DDS
Location Address2700 MARTIN LUTHER KING JR BLVDDetroit, MI 48208-2576
Mailing Address10 Maynard StNewton, MA 02465-1316 · (312) 953-1532
Phone(312) 953-1532
Sole ProprietorNo
Enumeration DateJanuary 7, 2009
Last NPPES UpdateJune 18, 2024
NPPES CertifiedJune 18, 2024
✔ NPI 1326285768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MI · 2901601983
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2700 MARTIN LUTHER KING JR BLVD, Detroit, MI 48208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dolrudee Jumlongras 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.

Medicare Billing Reassignment

Medicare enrollment records show Dolrudee Jumlongras reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Trustees Of Boston University
615 mi
Oral and Maxillofacial Surgery
100 E NEWTON ST, G407
Boston, MA 02118
  • Reassigned Medicare billing, Massachusetts enrollment
  • 42 clinicians in this Medicare group
NPI 1154331916 (617) 638-4352

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48208 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

DR. SWATI DINESH CHITRE DDS,MSD
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6814
MINH-PHUONG ISABELLE KIEU
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6629
KARISHMA M CHOKSI B.D.S
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700
DR. MIKHAIL ARKHIPOV DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (347) 782-6999
NASER MOHAMMADZADEH REZAEI
Student in an Organized Health Care Education/Training Program
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700
RUHI MOHTA
Student in an Organized Health Care Education/Training Program
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6700
HANA GADALLA
Dentist (Periodontics)
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 494-6660
DR. LUIZ CARLOS MAGNO FILHO DDS, MSC
Dentist
2700 MARTIN LUTHER KING JR BLVD
DETROIT, MI 48208
Wayne County (313) 993-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dolrudee Jumlongras's NPI number?

The NPI number for Dolrudee Jumlongras is 1326285768. It was assigned to this individual provider in the NPPES registry on January 7, 2009.

Where is Dolrudee Jumlongras located?

Dolrudee Jumlongras practices at 2700 Martin Luther King Jr Blvd, Detroit, MI 48208. The listed phone number is (312) 953-1532.

What is Dolrudee Jumlongras's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Dolrudee Jumlongras enrolled in Medicare?

Yes. Dolrudee Jumlongras is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dolrudee Jumlongras's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dolrudee Jumlongras reassigns Medicare benefits to Trustees Of Boston University (Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dolrudee Jumlongras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dolrudee Jumlongras accept?

Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Dolrudee Jumlongras as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dolrudee Jumlongras was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.