Active NPI
Stephen Douglas Sprengel, DDS
- Dentist
- Riverside, CA
National Provider Identifier
1114293529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27204
- Practice address
- 900 University Ave
Riverside, CA 92521-0001 - Phone
- (760) 822-2075
- Fax
- (760) 436-1420
- NPI assigned
- Mar 29, 2012
- Last updated
- Mar 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27204 | CA | Primary |
Addresses
Primary practice location
900 University Ave
Riverside, CA 92521-0001
Mailing address
900 University Ave
Riverside, CA 92521-0001
Phone (760) 822-2075
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 |
|---|---|---|---|
| 27204 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1114293529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 UNIVERSITY AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925210001",
"telephone_number": "760-822-2075",
"fax_number": "760-436-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 UNIVERSITY AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925210001",
"telephone_number": "760-822-2075",
"fax_number": "760-436-1420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRENGEL",
"first_name": "STEPHEN",
"middle_name": "DOUGLAS",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-29",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "27204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.