Active NPI
Jane Summersett, DDS
- General Practice Dentistry
- Houghton, MI
National Provider Identifier
1093165060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901021878
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2901021878 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keweenaw Dental | Current | 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.
-
- Dental Clinic/Center
- Houghton, MI
- NPI 1407473556
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.