Individual provider Active NPI

Summer Drews, D.D.S.

  • Dentist
  • Rhinelander, WI
National Provider Identifier
1043530645
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6522-15 Issued in WI
Practice address
510 E Timber Dr
Rhinelander, WI 54501-2854
Phone
(715) 362-4070
NPI assigned
Jun 4, 2010
Last updated
Jun 4, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6522-15 WI Primary

Addresses

Primary practice location

510 E Timber Dr
Rhinelander, WI 54501-2854

Mailing address

6965 Lair Dr
Rhinelander, WI 54501-9468
Phone (715) 282-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150305000247 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9436475670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1043530645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 LAIR DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545019468",
            "telephone_number": "715-282-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012854",
            "telephone_number": "715-362-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREWS",
        "first_name": "SUMMER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6522-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.