Summer Anne-Racelle Gutschow, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6701 Issued in NE

Practice address

13625 California St
Suite 300
Omaha, NE 68154-5304

Phone

(402) 933-8005

Fax

(402) 504-1338

NPI assigned

Jun 12, 2007

Last updated

Apr 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gutschow LLC

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1245164490
  NPD Authorized official
• Innovative Dental, P.C.

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1932233095
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1710181805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13625 CALIFORNIA ST",
            "address_2": "SUITE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545304",
            "telephone_number": "402-933-8005",
            "fax_number": "402-504-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13625 CALIFORNIA ST",
            "address_2": "SUITE 300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681545304",
            "telephone_number": "402-933-8005",
            "fax_number": "402-504-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTSCHOW",
        "first_name": "SUMMER",
        "middle_name": "ANNE-RACELLE",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shella Gutierrez
• Russell Charles Gutmann II, LCSW
• Bruce David Gutnik, M.D.
• Regan Gutschenritter
• Gutschow LLC
• Rao Gutta, M.D.
• Sydnee Gutzmann, M.S CCC-SLP
• Sun Young Guwn
• Carol Guy
• Douglas M Guy, MD

• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.