Individual provider Active NPI

Jennifer Anne Suminski, CPHT

  • Dental Hygienist
  • Hagerstown, MD
National Provider Identifier
1881211241
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
7387 Issued in MD
Practice address
18759 Diller Dr
Hagerstown, MD 21742-2434
Phone
(586) 295-7563
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T16907 MD
Dental Hygienist 124Q00000X 7387 MD Primary

Addresses

Primary practice location

18759 Diller Dr
Hagerstown, MD 21742-2434

Mailing address

18759 Diller Dr
Hagerstown, MD 21742-2434
Phone (586) 295-7563

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
7387MDMDDental Hygienist
T16907MDMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1881211241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18759 DILLER DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422434",
            "telephone_number": "586-295-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18759 DILLER DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422434",
            "telephone_number": "586-295-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMINSKI",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Prof.",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MD",
            "license": "T16907",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "7387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.