Individual provider Active NPI

Howard I Sommers, D.D.S.

  • Dentist
  • Scottsdale, AZ
National Provider Identifier
1376509414
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4325 Issued in AZ
Practice address
10855 N Frank Lloyd Wright Blvd
Suite #105
Scottsdale, AZ 85259-4064
Phone
(480) 451-1215
Fax
(480) 314-4181
NPI assigned
Apr 26, 2006
Last updated
Jun 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4325 AZ Primary

Addresses

Primary practice location

10855 N Frank Lloyd Wright Blvd
Suite #105
Scottsdale, AZ 85259-4064

Mailing address

10855 N Frank Lloyd Wright Blvd Ste 105
Scottsdale, AZ 85259-4064
Phone (480) 451-1215

Other identifiers 1

IdentifierTypeStateIssuer
861047574OtherAZTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150626000642 AZ Order and Referring Only - DentistPractitioner - Dentist 2769794155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4325AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Sommers DDS PLLC Dentist CurrentSince Jun 1, 1994 Accepting new patients
Signature Sleep Solutions LLC General Practice Current Accepting new patients

Locations

10855 N Frank Lloyd Wright Blvd
Ste 105
Scottsdale, AZ 85259
Phone (480) 451-1215

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1376509414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 N FRANK LLOYD WRIGHT BLVD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594064",
            "telephone_number": "480-451-1215",
            "fax_number": "480-314-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 N FRANK LLOYD WRIGHT BLVD",
            "address_2": "SUITE #105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852594064",
            "telephone_number": "480-451-1215",
            "fax_number": "480-314-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERS",
        "first_name": "HOWARD",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "861047574",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.