Organization Active NPI

Summit Ever Professional PLLC

  • Dental Clinic/Center
  • Gainesville, FL
National Provider Identifier
1912480773
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUMMIT EVER PROFESSIONAL PLLC
Practice address
100 SW 75TH St Ste 102
Gainesville, FL 32607-5775
Phone
(352) 678-3976
NPI assigned
Sep 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Jing Xue, DDS
Title
MGRM
Phone
(352) 678-3976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X FL Primary

Addresses

Primary practice location

100 SW 75TH St Ste 102
Gainesville, FL 32607-5775

Mailing address

7869 SW 85TH Ter
Gainesville, FL 32608-5791

Other names 1

  • Dr. Jing Xue Family & Cosmetic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

100 SW 75th St
Ste 102
Gainesville, FL 32607
Phone (352) 678-3976

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1912480773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7869 SW 85TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SW 75TH ST STE 102",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075775",
            "telephone_number": "352-678-3976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EVER PROFESSIONAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "XUE",
        "authorized_official_first_name": "JING",
        "authorized_official_title_or_position": "MGRM",
        "authorized_official_telephone_number": "352-678-3976",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Jing Xue Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.