Active NPI
Scott Michael Sumners, D.M.D
- General Practice Dentistry
- Decatur, AL
National Provider Identifier
1417306358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6298
- Practice address
- 1823 Somerville Rd SE
Decatur, AL 35601-5015 - Phone
- (888) 705-4793
- NPI assigned
- Jun 10, 2016
- Sex
- Male
- 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 | 6298 | AL | Primary |
Addresses
Primary practice location
1823 Somerville Rd SE
Decatur, AL 35601-5015
Mailing address
25753 Summerwood Dr
Madison, AL 35756-5201
Phone (256) 345-9424
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 |
|---|---|---|---|
| 6298 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465516800000",
"number": "1417306358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25753 SUMMERWOOD DR",
"city": "MADISON",
"state": "AL",
"postal_code": "357565201",
"telephone_number": "256-345-9424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1823 SOMERVILLE RD SE",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015015",
"telephone_number": "888-705-4793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNERS",
"first_name": "SCOTT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-10",
"last_updated": "2016-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "6298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.