Summit Oregon LLC
Summit Oregon LLC is a healthcare organization registered as Oral & Maxillofacial Surgery (D.M.D.) in Portland, OR, holding Type 2 (organization) NPI 1205664844 since 2024. The authorized official on file is Prashant Charugundla, Oral & Maxillofacial Surgeon.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205664844 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Summit Oregon LLC |
| Other name | <Unavail> |
| Practice address | 3332 N LOMBARD ST STE C, Portland, OR, 97217 |
| Phone | 5035482006 |
| Fax | 5035482012 |
| Enumeration date | 2024-07-24 |
| Last updated in NPPES | 2026-04-06 |
Authorized official
| Name | Prashant Charugundla |
|---|---|
| Title | Oral & Maxillofacial Surgeon |
| Phone | 5035482006 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | Primary | — | — |
Copy-ready billing details
Provider: Summit Oregon LLC NPI: 1205664844 Taxonomy: 204E00000X (Oral & Maxillofacial Surgery (D.M.D.)) Address: 3332 N LOMBARD ST STE C, Portland, OR, 97217
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700317401 | Prashant Charugundla | Individual | Oral & Maxillofacial Surgery (D.M.D.) | Portland, OR |
Verify this record
Cross-check NPI 1205664844 against the authoritative CMS record: view Summit Oregon LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Summit Oregon LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-06.