Organization Active NPI

Richard E Sprague, DDS, Inc

  • Dentist
  • Beverly Hills, CA
National Provider Identifier
1093268757
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41129 Issued in CA
Legal business name
RICHARD E SPRAGUE, DDS, INC
Practice address
416 N Bedford Dr
Suite 103
Beverly Hills, CA 90210-4322
Phone
(949) 356-2021
NPI assigned
Jul 29, 2016
Organization subpart
Yes
Parent organization
RICHARD E SPRAGUE DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Dr. Richard Edward Sprague, DDS
Title
Dentist
Phone
(949) 356-2021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 41129 CA Primary

Addresses

Primary practice location

416 N Bedford Dr
Suite 103
Beverly Hills, CA 90210-4322

Mailing address

416 North Bedford Drive
Suite 103
Beverly Hills, CA 90210-4322
Phone (949) 356-2021

National Provider Directory

National Provider Directory
Tax ID family
Richard E Sprague DDS Inc2 organizations share this tax ID, including this one
Part of
Richard E Sprague DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1093268757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 NORTH BEDFORD DRIVE",
            "address_2": "SUITE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104322",
            "telephone_number": "949-356-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N BEDFORD DR",
            "address_2": "SUITE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104322",
            "telephone_number": "949-356-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD E SPRAGUE, DDS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RICHARD E SPRAGUE DDS INC",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-356-2021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.