Active NPI
Sonya Leigh Kummer, DDS
- Dentist
- Nebraska City, NE
National Provider Identifier
1861559601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5514
- Practice address
- 162 Butternut LN
Nebraska City, NE 68410-1136 - Phone
- (402) 873-3111
- NPI assigned
- Jan 2, 2007
- Last updated
- Jul 18, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5514 | NE | Primary |
Addresses
Primary practice location
162 Butternut LN
Nebraska City, NE 68410-1136
Mailing address
162 Butternut LN
Nebraska City, NE 68410-1136
Phone (402) 873-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07958 | Other | NE | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150520000438 | NE | Order and Referring Only - Maxillofacial Surgery | 9638499395 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5514 | NE | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arbor Dental, LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Nebraska City, NE
- NPI 1568273332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405641600000",
"number": "1861559601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 BUTTERNUT LN",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684101136",
"telephone_number": "402-873-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 BUTTERNUT LN",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684101136",
"telephone_number": "402-873-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMMER",
"first_name": "SONYA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2014-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "5514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07958",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nebraska City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.