SUMMER A ARCHIBALD D.D.S.
NPI 1447316831
Dentist - General Practice in Gresham, OR

Active since December 29, 2006PECOS Enrolled
501 NE HOOD AVE, SUITE 333, GRESHAM, OR 97030(503) 661-2600 Get Directions Write a Review

NPPES record last updated: June 12, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Summer A Archibald D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMER A ARCHIBALD D.D.S. (NPI 1447316831) is an individual general practice provider in Gresham, Oregon, licensed in Oregon (D8588) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447316831
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSUMMER A ARCHIBALDCredential: D.D.S.
Location Address501 NE HOOD AVE, SUITE 333Gresham, OR 97030-7303
Mailing Address501 Ne Hood Ave, Suite 333Gresham, OR 97030-7303 · (503) 661-2600
Sole ProprietorYes
Enumeration DateDecember 29, 2006
Last NPPES UpdateJune 12, 2009
NPI 1447316831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D8588
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
501 NE HOOD AVE, Gresham, OR 97030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Summer A Archibald D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
501 NE HOOD AVE, SUITE 305
GRESHAM, OR 97030
Chiropractor (Sports Physician)
501 NE HOOD AVE, SUITE 205
GRESHAM, OR 97030
Dentist (Orthodontics and Dentofacial Orthopedics)
501 NE HOOD AVE, SUITE 305
GRESHAM, OR 97030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
501 NE HOOD AVE, SUITE 215
GRESHAM, OR 97030
Surgery
501 NE HOOD AVE, SUITE 205
GRESHAM, OR 97030
Nurse Practitioner (Family)
501 NE HOOD AVE, SUITE 100
GRESHAM, OR 97030
Massage Therapist
501 NE HOOD AVE, SUITE 205
GRESHAM, OR 97030
Surgery
501 NE HOOD AVE, SUITE 205
GRESHAM, OR 97030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summer Archibald's NPI number?

The NPI number for Summer Archibald is 1447316831. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Summer Archibald located?

Summer Archibald practices at 501 NE Hood Ave Suite 333, Gresham, OR 97030. The listed phone number is (503) 661-2600.

What is Summer Archibald's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Summer Archibald enrolled in Medicare?

Yes. Summer Archibald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Summer Archibald was last updated on June 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.