Individual provider Active NPI

Gerald Warren Springstead, D.D.S.

  • Dentist
  • Brooksville, FL
National Provider Identifier
1023301496
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN3856 Issued in FL
Practice address
605 W. Jefferson St.
Brooksville, FL 34601
Phone
(352) 796-9911
Fax
(352) 896-7175
NPI assigned
May 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN3856 FL Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN3856 FL

Addresses

Primary practice location

605 W. Jefferson St.
Brooksville, FL 34601

Mailing address

605 W. Jefferson St.
Brooksville, FL 34601
Phone (352) 796-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN3856FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305676800000",
    "number": "1023301496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 W. JEFFERSON ST.",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34601",
            "telephone_number": "352-796-9911",
            "fax_number": "352-896-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W. JEFFERSON ST.",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "34601",
            "telephone_number": "352-796-9911",
            "fax_number": "352-896-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGSTEAD",
        "first_name": "GERALD",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN3856",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN3856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.