Sovereign DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOVEREIGN DMD PLLC

Practice address

15701 E Sprague Ave Ste F
Spokane Valley, WA 99037-5019

Phone

(480) 341-0791

NPI assigned

Jun 15, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Derick J Sovereign, DMD

Title

General Dentist

Phone

(480) 341-0791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1144155805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 E WINDRIDGE AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546784",
            "telephone_number": "480-341-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15701 E SPRAGUE AVE STE F",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990375019",
            "telephone_number": "480-341-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVEREIGN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "SOVEREIGN",
        "authorized_official_first_name": "DERICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "480-341-0791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.