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KUMJOHN TANVISHUT DDS
NPI 1598913006
Dentist in Greensboro, NC

Active since September 09, 2008PECOS Enrolled
5923 W FRIENDLY AVE, GREENSBORO, NC 27410(336) 632-0744(336) 632-0754 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kumjohn Tanvishut Dds NPPES

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

KUMJOHN TANVISHUT DDS (NPI 1598913006) is an individual dentist in Greensboro, North Carolina, licensed in North Carolina (8689) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598913006
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKUMJOHN TANVISHUTCredential: DDS
Location Address5923 W FRIENDLY AVEGreensboro, NC 27410-3207
Mailing AddressPo Box 2222Lillington, NC 27546-2222 · (910) 893-1096 · Fax (910) 814-1559
Phone(336) 632-0744
Fax(336) 632-0754
Sole ProprietorYes
Enumeration DateSeptember 9, 2008
✔ NPI 1598913006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NC · 8689
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.
5923 W FRIENDLY AVE, Greensboro, NC 27410
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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)

Kumjohn Tanvishut 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 27410 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

RAVALI REDDY LOKA DMD
Dentist (General Practice)
5923 W FRIENDLY AVE
GREENSBORO, NC 27410
Guilford County (336) 632-0744
LANE & ASSOCIATES XIII DDS PA
Dentist (General Practice)
5923 W FRIENDLY AVE
GREENSBORO, NC 27410
Guilford County (336) 632-0744
SIVA SAI KUMAR GANDHAM DDS
Dentist (General Practice)
5923 W FRIENDLY AVE
GREENSBORO, NC 27410
Guilford County (336) 632-0744
HALEY BREANNE LINDNER DMD
Dentist
5923 W FRIENDLY AVE
GREENSBORO, NC 27410
Guilford County (336) 632-0744

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 Kumjohn Tanvishut's NPI number?

The NPI number for Kumjohn Tanvishut is 1598913006. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Kumjohn Tanvishut located?

Kumjohn Tanvishut practices at 5923 W Friendly Ave, Greensboro, NC 27410. The listed phone number is (336) 632-0744.

What is Kumjohn Tanvishut's specialty?

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

Is Kumjohn Tanvishut enrolled in Medicare?

Yes. Kumjohn Tanvishut is registered in the Medicare PECOS enrollment system.

What insurance does Kumjohn Tanvishut accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and BEST Life and 16 other insurers list Kumjohn Tanvishut 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 Kumjohn Tanvishut was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.