JENNIFER TUMMARELLO DDS
NPI 1740637099
Dentist in Fairfax, VA

Q: What is Jennifer Tummarello's NPI number?

The NPI number for Jennifer Tummarello is 1740637099. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Q: What is Jennifer Tummarello's specialty?

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

Q: Is Jennifer Tummarello enrolled in Medicare?

No. Jennifer Tummarello has opted out of Medicare through June 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since May 17, 2016Opted out of Medicare · through Jun 8, 2028

11208 WAPLES MILL RD STE 101, FAIRFAX, VA 22030(571) 723-2590 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 17, 2022, May 17, 2016 (2 updates tracked since 2016).

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About Jennifer Tummarello Dds NPPES

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

JENNIFER TUMMARELLO DDS (NPI 1740637099) is an individual dentist in Fairfax, Virginia, licensed in Virginia (0401415241) and active in the NPI registry since May 2016. She has opted out of Medicare through June 8, 2028.

NPPES Registry Identity

NPI1740637099

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJENNIFER TUMMARELLOCredential: DDS

Location Address11208 WAPLES MILL RD STE 101Fairfax, VA 22030-6077

Mailing Address11315 Hunt Farm LnOakton, VA 22124-1202 · (571) 723-2590

Phone(571) 723-2590

Sole ProprietorYes

Enumeration DateMay 17, 2016

Last NPPES UpdateOctober 17, 20222 updates tracked since enumeration

NPPES CertifiedOctober 10, 2022

✔ NPI 1740637099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in VA · 0401415241

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.

11208 WAPLES MILL RD STE 101, Fairfax, VA 22030

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Jennifer Tummarello Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 8, 2022 through June 8, 2028.

Opt-Out Effective DateJune 8, 2022

Opt-Out In Effect ThroughJune 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

TUMMARELLO AND PANDAK DDS, PC

Dentist (General Practice)

11208 WAPLES MILL RD STE 101
FAIRFAX, VA 22030

Fairfax City (703) 691-1511

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 Jennifer Tummarello's NPI number?

The NPI number for Jennifer Tummarello is 1740637099. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Jennifer Tummarello located?

Jennifer Tummarello practices at 11208 Waples Mill Rd Ste 101, Fairfax, VA 22030. The listed phone number is (571) 723-2590.

What is Jennifer Tummarello's specialty?

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

Is Jennifer Tummarello enrolled in Medicare?

No. Jennifer Tummarello has opted out of Medicare through June 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jennifer Tummarello accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Jennifer Tummarello 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 Jennifer Tummarello was last updated on October 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.