Active NPI
Summer Waters, RDH
- Dental Hygienist
- Blue Springs, MO
National Provider Identifier
1508752353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2020022650
- Practice address
- 706 NW Hwy 7
Suite a
Blue Springs, MO 64014 - Phone
- (816) 622-2843
- Fax
- (816) 598-8914
- NPI assigned
- Jun 17, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2020022650 | MO | Primary |
Addresses
Primary practice location
706 NW Hwy 7
Suite a
Blue Springs, MO 64014
Mailing address
1104 NW 3Rd St
Oak Grove, MO 64075-8614
Phone (816) 813-8186
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 |
|---|---|---|---|
| 2020022650 | MO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1508752353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 NW 3RD ST",
"city": "OAK GROVE",
"state": "MO",
"postal_code": "640758614",
"telephone_number": "816-813-8186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 NW HWY 7",
"address_2": "SUITE A",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "64014",
"telephone_number": "816-622-2843",
"fax_number": "816-598-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "SUMMER",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "2020022650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.