Summer Creek Dental

Primary specialty

DentistTaxonomy code 122300000X

License

28120 Issued in TX

Legal business name

SUMMER CREEK DENTAL

Practice address

11501 N Sam Houston Pkwy E
Ste C
Humble, TX 77396-4635

Phone

(281) 454-2000

Fax

(281) 454-2002

NPI assigned

Jan 30, 2014

Organization subpart

No

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

Authorized official

Name

Erica Antonino

Title

Assistant

Phone

(303) 870-3876

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1508289364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11501 N SAM HOUSTON PKWY E",
            "address_2": "STE C",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964635",
            "telephone_number": "281-454-2000",
            "fax_number": "281-454-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 N SAM HOUSTON PKWY E",
            "address_2": "STE C",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964635",
            "telephone_number": "281-454-2000",
            "fax_number": "281-454-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER CREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "ANTONINO",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "303-870-3876"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jane Strong, C.O.T.A.
• Evelyn Stull-Armour
• Brieona Suber
• Husseina Sulemanji, OTR/L. MOT
• Usman Sultan, D.P.M.
• Summer Creek Physicians, PLLC
• James S Summers
• Sumner Nutrition
• Kimberly Sumner, RD, LD
• Steven William Sunday, DC

• Dentist in Humble, TX
• Providers in Humble, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.