Marlene Mendicino Sumner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15353 Issued in TX

Practice address

834 NW Loop 410 Ste 112
San Antonio, TX 78216-5604

Phone

(210) 340-0303

NPI assigned

Oct 12, 2017

Last updated

Oct 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: msumner59832@direct.utmsa.com

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.

• The Smile Center PA

  • Dentist
  • San Antonio, TX
  • NPI 1043457286
  NPD (past)

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1447761853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13302 MING HEIGHTS DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305881",
            "telephone_number": "210-643-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 NW LOOP 410 STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165604",
            "telephone_number": "210-340-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "MARLENE",
        "middle_name": "MENDICINO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit LTC San Antonio, LLC (Sunrise Nursing & Rehab Center)
• Summit Wellness - Central Texas LLC (Summit Wellness - San Antonio)
• Karen M Summy, CNS
• Adam Sumner, DMD
• Keith Neal Sumner, M.D.
• Zachary Sumner, DO
• Sumoto Muto Mobility, Inc
• Erin Sumrall
• Sun Clinical Laboratory LLC
• Sun Pharma LLC (Galaxy Specialty Pharmacy)

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.