Siobhian Melinda Bacchus Sprott, DDS, MPA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN1857887 Issued in MA

Practice address

3401 Georgia Ave NW
Washington, DC 20010

Phone

(202) 829-5437

Fax

(202) 829-9255

NPI assigned

Sep 6, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Dr. Siobhian Melinda Bacchus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1174771802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-576-1850",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20010",
            "telephone_number": "202-829-5437",
            "fax_number": "202-829-9255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3946 Minnesota Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200192661",
            "country_code": "US",
            "telephone_number": "615-750-0343",
            "fax_number": "615-986-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPROTT",
        "first_name": "SIOBHIAN",
        "middle_name": "MELINDA BACCHUS",
        "name_prefix": "Dr.",
        "credential": "DDS, MPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-06",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "DN1857887",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401412318",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "DC",
            "license": "DEN1000855",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "15112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037892500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIOBHIAN",
            "last_name": "BACCHUS",
            "middle_name": "MELINDA",
            "prefix": "DR.",
            "credential": "DDS, MPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Eden Springer
• Pearlette Pamela Springer
• Antoinette M Springs
• Derrick L Springs
• Kathleen J Spritzer
• Amy Grace Baker Sproul
• Hakim Spruill
• Mildred D Spruill
• Shaunte Anntonitte Spruill
• Anna Chikovani Sprunger, PA-C

• Pediatric Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• Pediatric Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.