NPIMap

Organization Active NPI

Sprout Pediatric Dental

  • Dental Clinic/Center
  • Scranton, PA
National Provider Identifier
1639874696
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SPROUT PEDIATRIC DENTAL
Practice address
387 N 9TH Ave
Scranton, PA 18504-2005
Phone
(570) 253-0358
NPI assigned
Mar 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Katherine Rosalie Schloesser
Title
DMD
Phone
(570) 253-0358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

387 N 9TH Ave
Scranton, PA 18504-2005

Mailing address

554 Hamlin Hwy
Lake Ariel, PA 18436-9319
Phone (267) 324-7933

National Provider Directory

National Provider Directory
Tax ID family
Sprout Pediatric Dental5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

554 Hamlin Hwy
Lake Ariel, PA 18436
Phone (570) 253-0358

387 N 9th Ave
Scranton, PA 18504
Phone (570) 253-0358

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1639874696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 HAMLIN HWY",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184369319",
            "telephone_number": "267-324-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 N 9TH AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042005",
            "telephone_number": "570-253-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT PEDIATRIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "SCHLOESSER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ROSALIE",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "570-253-0358"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.