Taylor J Sprague, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6408 Issued in OK

Practice address

8701 S Garnett Rd
Broken Arrow, OK 74012-8852

Phone

(918) 250-9528

Fax

(918) 250-9529

NPI assigned

May 30, 2012

Last updated

May 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Berkshire Dental Group PLC

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1982870838
  NPD (past)
• Norton Crna PLLC

  • Certified Registered Nurse Anesthetist
  • Broken Arrow, OK
  • NPI 1265899405
  NPD (past)

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1275894941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8701 S GARNETT RD",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128852",
            "telephone_number": "918-250-9528",
            "fax_number": "918-250-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 S GARNETT RD",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128852",
            "telephone_number": "918-250-9528",
            "fax_number": "918-250-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAGUE",
        "first_name": "TAYLOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Spechler, MD
• Speech Concepts, PC
• Kristi Spence, LMFT
• Teryl A Sperle, O.T.
• Sheena M Spies
• Spring Dental-Broken Arrow
• Fady Srour, M.A, LPC
• St John Villas Inc (Franciscan Villa)
• St. John Broken Arrow, Inc (Ascension St. John Jenks)
• St. John Encompass Health Rehabilitation Hospital, LLC (Ascension St. John Rehabilitation Hospital of Broken Arrow, an affiliate of Encompass Health)

• Dentist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.