Active NPI
Gregory R Summers, LMP, DC
- Chiropractor
- Federal Way, WA
National Provider Identifier
1619017985
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Sep 20, 2016.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00034210
- Practice address
- 2201 SW 356TH St
Ste. a
Federal Way, WA 98023-3033 - Phone
- (253) 838-1441
- Fax
- (253) 838-4345
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH00034210 | WA | Primary |
Addresses
Primary practice location
2201 SW 356TH St
Ste. a
Federal Way, WA 98023-3033
Mailing address
2201 SW 356TH St
Ste. a
Federal Way, WA 98023-3033
Phone (253) 838-1441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2158SU | Other | WA | REGENCE RIDER |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00034210 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summers Chiropractic & Massage Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619017985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 SW 356TH ST",
"address_2": "STE. A",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980233033",
"telephone_number": "253-838-1441",
"fax_number": "253-838-4345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 SW 356TH ST",
"address_2": "STE. A",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980233033",
"telephone_number": "253-838-1441",
"fax_number": "253-838-4345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "GREGORY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "LMP, DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00034210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER",
"identifier": "2158SU",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.