Active NPI
Brett L Sperry, D.M.D.
- Dentist
- Sun City West, AZ
National Provider Identifier
1366741142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D009907
- Practice address
- 13925 W. Meeker Blvd
Suite 1a
Sun City West, AZ 85375 - Phone
- (623) 854-0733
- Fax
- (623) 524-1799
- NPI assigned
- Mar 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | D009907 | AZ | Primary |
Addresses
Primary practice location
13925 W. Meeker Blvd
Suite 1a
Sun City West, AZ 85375
Mailing address
13925 W. Meeker Blvd
Suite 1a
Sun City West, AZ 85375
Phone (623) 854-0733
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009907 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashtabula County Medical Center | Current | Accepting new patients | |
| Newkirk Dental Center,PLLC | Dentist | Past | Accepting new patients |
| Brett L. Sperry DMD, PLLC | Dentist | Past | Accepting new patients |
| Newkc PLLC | General Practice | Past | Accepting new patients |
Locations
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Newkirk, OK
- NPI 1649523093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1366741142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13925 W. MEEKER BLVD",
"address_2": "SUITE 1A",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "85375",
"telephone_number": "623-854-0733",
"fax_number": "623-524-1799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13925 W. MEEKER BLVD",
"address_2": "SUITE 1A",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "85375",
"telephone_number": "623-854-0733",
"fax_number": "623-524-1799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERRY",
"first_name": "BRETT",
"middle_name": "L",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-20",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D009907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.