Active NPI
Brent Sonday, DMD
- Pediatric Dentistry
- Schriever AFB, CO
National Provider Identifier
1164412441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 4620-015
- Practice address
- 220 Falcon Parkway
Schriever, AFB, CO 80912 - Phone
- (719) 567-5467
- NPI assigned
- Oct 26, 2005
- Last updated
- Aug 14, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 4620-015 | WI | Primary |
Addresses
Primary practice location
220 Falcon Parkway
Schriever, AFB, CO 80912
Mailing address
220 Falcon Parkway
Schriever, AFB, CO 80912
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 |
|---|---|---|---|
| 4620-015 | WI | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344902400000",
"number": "1164412441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 FALCON PARKWAY",
"city": "SCHRIEVER, AFB",
"state": "CO",
"postal_code": "80912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 FALCON PARKWAY",
"city": "SCHRIEVER, AFB",
"state": "CO",
"postal_code": "80912",
"telephone_number": "719-567-5467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONDAY",
"first_name": "BRENT",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2012-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WI",
"license": "4620-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schriever AFB, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.