Organization Active NPI

Sonja a. Sproul, D.D.S., P.C.

  • General Practice Dentistry
  • Eugene, OR
National Provider Identifier
1336575273
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D9774 Issued in OR
Legal business name
SONJA A. SPROUL, D.D.S., P.C.
Practice address
51 Santa Clara Ave
Eugene, OR 97404-2077
Phone
(541) 689-2001
Fax
(541) 463-1263
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Dr. Sonja A Sproul, D.D.S.
Title
Dentist
Phone
(541) 689-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D9774 OR Primary

Addresses

Primary practice location

51 Santa Clara Ave
Eugene, OR 97404-2077

Mailing address

51 Santa Clara Ave
Eugene, OR 97404-2077
Phone (541) 689-2001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1336575273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 SANTA CLARA AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042077",
            "telephone_number": "541-689-2001",
            "fax_number": "541-463-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SANTA CLARA AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042077",
            "telephone_number": "541-689-2001",
            "fax_number": "541-463-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONJA A. SPROUL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "SPROUL",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "541-689-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.