Individual provider Active NPI

Chester John Summers, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Apo Ae, NY
National Provider Identifier
1689734345
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901008142 Issued in MI
Practice address
Unit 26610
Wuerzburg Dental Activity Credentials Office
Apo Ae, NY 09244
Phone
(931) 804-3933
Fax
(931) 804-2524
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2901008142 MI Primary

Addresses

Primary practice location

Unit 26610
Wuerzburg Dental Activity Credentials Office
Apo Ae, NY 09244

Mailing address

Unit 26610
Wuerzburg Dental Activity Credentials Office
Apo Ae, NY 09244
Phone (931) 804-3933

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

LicenseStateTypeSpecialty
2901008142MIMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689734345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIT 26610",
            "address_2": "WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE",
            "city": "APO AE",
            "state": "NY",
            "postal_code": "09244",
            "telephone_number": "931-804-3933",
            "fax_number": "931-804-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIT 26610",
            "address_2": "WUERZBURG DENTAL ACTIVITY CREDENTIALS OFFICE",
            "city": "APO AE",
            "state": "NY",
            "postal_code": "09244",
            "telephone_number": "931-804-3933",
            "fax_number": "931-804-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "CHESTER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901008142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apo Ae, NY

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.