NPIMap

Individual provider Active NPI

Brian Summers, DMD

  • General Practice Dentistry
  • Albany, OR
National Provider Identifier
1992069298
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9868 Issued in OR
Practice address
1070 24TH Ave SW
Patrick V Hagerty, DMD, PC
Albany, OR 97321-7539
Phone
(541) 926-3689
Fax
(541) 928-6088
NPI assigned
Jul 2, 2012
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-4450 ID
General Practice Dentistry 1223G0001X D9868 OR Primary

Addresses

Primary practice location

1070 24TH Ave SW
Patrick V Hagerty, DMD, PC
Albany, OR 97321-7539

Mailing address

1070 24TH Ave SW
Albany, OR 97321-7539
Phone (541) 926-3689

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528002732 OR Practitioner - Dentist 0648590877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-4450IDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Summers & White Dental, LLC General Practice Current Accepting new patients

Locations

1070 24th Ave SW
Albany, OR 97321
Phone (541) 926-3689

1070 24th Ave SW
#V
Albany, OR 97321
Phone (541) 926-3689

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Samaritan Albany General HospitalAlbany, OR, CCN 380022 Hospital Corporate Director Dec 1, 2019
Samaritan Evergreen HospiceAlbany, OR, CCN 381517 Hospice Corporate Director Dec 1, 2019

Owned or controlled facilities with NPI records 18

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 18

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1992069298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 24TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973217539",
            "telephone_number": "541-926-3689",
            "fax_number": "541-928-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 24TH AVE SW",
            "address_2": "PATRICK V HAGERTY, DMD, PC",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973217539",
            "telephone_number": "541-926-3689",
            "fax_number": "541-928-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "BRIAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4450",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.