Individual provider Active NPI

Jane Summersett, DDS

  • General Practice Dentistry
  • Houghton, MI
National Provider Identifier
1093165060
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901021878 Issued in MI
Practice address
725 Cedar Bluff Dr
Houghton, MI 49931-1959
Phone
(906) 482-2020
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901021878 MI Primary

Addresses

Primary practice location

725 Cedar Bluff Dr
Houghton, MI 49931-1959

Mailing address

725 Cedar Bluff Dr
Houghton, MI 49931-1959
Phone (508) 308-6782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901021878MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Keweenaw Dental CurrentSince Jul 12, 2020 Accepting new patients

Locations

725 Cedar Bluff Dr
Houghton, MI 49931
Phone (906) 482-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1093165060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CEDAR BLUFF DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311959",
            "telephone_number": "508-308-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CEDAR BLUFF DR",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311959",
            "telephone_number": "906-482-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERSETT",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.