Active NPI
Gerald Warren Springstead, D.D.S.
- Dentist
- Brooksville, FL
National Provider Identifier
1023301496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN3856
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN3856 | FL | MD | Dentist |
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.