Organization Active NPI

Summit Endodontic Specialists, Inc

  • Endodontics
  • Stow, OH
National Provider Identifier
1629280268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
SUMMIT ENDODONTIC SPECIALISTS, INC
Practice address
3611 Darrow Rd
Stow, OH 44224-4012
Phone
(330) 686-0080
Fax
(339) 686-8622
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Wendy M Harris
Title
Office Manager
Phone
(330) 686-0080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

3611 Darrow Rd
Stow, OH 44224-4012

Mailing address

3611 Darrow Rd
Stow, OH 44224-4012
Phone (330) 686-0080

National Provider Directory

National Provider Directory

Locations

3611 Darrow Rd
Stow, OH 44224
Phone (330) 686-0080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629280268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 DARROW RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244012",
            "telephone_number": "330-686-0080",
            "fax_number": "339-686-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 DARROW RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244012",
            "telephone_number": "330-686-0080",
            "fax_number": "339-686-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ENDODONTIC SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-686-0080"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.