MICHAEL G. SUMMERS DDS, MS, PA (NPI# 1740457332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740457332 |
| Entity Type | Organization |
| Organization Name | MICHAEL G. SUMMERS DDS, MS, PA |
| Practice Address |
1133 Call Creek Suite B Pocatello ID 83202 |
| Practice Telephone | 2082320464 |
| Practice Fax Number | 2082320863 |
| Mailing Telephone | 2082320464 |
| Mailing Fax Number | 2082320863 |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-13 |
| Authorized Official Name | DR. MICHAEL G. SUMMERS (OWNER) |
| Authorized Official Telephone | 2082320464 |
| Authorized Official Credential | D.D.S., M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
D-3284-OR | ID | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | INSURANCE CO. | 6G421 | 01 |
| ID | INSURANCE CO. | 963311 | 01 |
| ID | 9201874 | 05 | |
| ID | 000015300 | 05 | |
| ID | UNITED CONCORDIA INSURANCE CO. | 963311 | 01 |
| ID | UNITED CONCORDIA INS. CO. | 645574 | 01 |
| ID | 805033500 | 05 | |
| ID | 9202522 | 05 | |
| ID | INSURANCE CO. | 6G405 | 01 |
| Street Address |
1133 CALL CREEK SUITE B |
| City | POCATELLO |
| State | ID |
| Zip Code | 83202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
| 1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
| 1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
| 1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
| 1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
| 1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
| 1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
| 1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
| 1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
| 1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
| Find all providers in zip 83202 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629298369 | John Robert Davis | Dentist | 115 South 15th Avenue, Suite F, Pocatello, ID 83201-4068 | 2007-04-26 |
| 1598989840 | Michael G. Summers | Dentist | 1133 Call Creek Dr., Pocatello, ID 83201-3000 | 2007-04-11 |
| 1962504563 | Eric D Johnson | Dentist | 625 E Alameda, Pocatello, ID 83201 | 2006-09-02 |
| 1780604702 | Rufus Van Dyke IIi | Dentist | 1501 Bench Rd, Pocatello, ID 83201-2443 | 2006-07-20 |
| 1487802096 | Rufus O. Van Dyke, D.d.s., M.cl.d | Dentist | 1455 Bench Rd, Suite A, Pocatello, ID 83201-5083 | 2008-09-08 |
| 1457570921 | Robert Glenn Mcminn | Dentist | 1133 Call Creek Dr., Pocatello, ID 83201 | 2007-04-24 |
| 1508080599 | Southeast Idaho Orthodontics, Pllc | Dentist | 625 E Alameda Rd, Pocatello, ID 83201-3622 | 2007-04-12 |
| 1942424916 | Jeffrey T Mcminn | Dentist | 625 E Alameda Rd, Pocatello, ID 83201-3622 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1093314932 | Smile Bar LLC | Dentist | 602 N Calgary Ct Ste 302, Post Falls, ID 83854-4000 | 2020-10-21 |
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1194369371 | Ikdo Emmett LLC | Dentist | 314 S Washington Ave, Emmett, ID 83617-2952 | 2019-10-31 |
| 1861954026 | Ikdo Star LLC | Dentist | 12190 W Evely Pines Ln, Star, ID 83669-6126 | 2019-04-04 |
| 1356815427 | Jkb Orthodontics | Dentist | 621 N Midland Blvd, Nampa, ID 83651-6525 | 2019-01-11 |
| 1184108706 | Ikdo Fruitland LLC | Dentist | 1619 N Whitley Dr, Fruitland, ID 83619-2162 | 2018-09-19 |
| 1205330420 | Jendy Pllc | Dentist | 2300 W Everest Ln Ste 125, Meridian, ID 83646-6113 | 2018-03-21 |
| 1841686649 | Cascade Dental, PC | Dentist | 839 S Main Street, Cascade, ID 83611 | 2015-04-09 |
| 1194169649 | Jordan Rodney Hillam | Dentist | 758 E 65th S, Idaho Falls, ID 83404-7696 | 2013-04-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.