Individual provider Active NPI

Louis Sommerhalter, DDS

  • Dentist
  • Glendale, AZ
National Provider Identifier
1215267356
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1817 Issued in AZ
Practice address
19555 N 59TH Ave
Midwestern University College of Dental Medicine
Glendale, AZ 85308
Phone
(623) 572-3842
NPI assigned
Jan 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 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 1817 AZ Primary

Addresses

Primary practice location

19555 N 59TH Ave
Midwestern University College of Dental Medicine
Glendale, AZ 85308

Mailing address

12212 N Paradise Village Pkwy S Apt 132
Phoenix, AZ 85032-7697
Phone (602) 571-4808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 22, 2015 through Sep 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1817AZMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwestern University PastSince Sep 29, 2024 Accepting new patients

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": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1215267356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 N PARADISE VILLAGE PKWY S APT 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327697",
            "telephone_number": "602-571-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19555 N 59TH AVE",
            "address_2": "MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "623-572-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERHALTER",
        "first_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "1817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.