Robert Kenneth Springer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010356 Issued in AZ

Practice address

2120 Highway 14 E
Rochester, MN 55904-5101

Phone

(507) 258-7934

NPI assigned

Jun 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

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 and National Provider Directory roles.

• Isles Dental Associates P.a

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1447416607
  NPD (past)
• Isles Dental PLLC

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1942018825
  NPD (past)
• Edward M. Reifman, DDS Inc

  • Dentist
  • Prescott Valley, AZ
  • NPI 1750623559
  NPD (past)
• Flagstaff Modern Dentistry

  • Dentist
  • Flagstaff, AZ
  • NPI 1386033629
  NPD (past)
• Prescott Valley Dental Group, LLP

  dba Prescott Valley Dental Group

  • Dentist
  • Prescott Valley, AZ
  • NPI 1932518404
  NPD (past)

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1669032694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E PICCADILLY DR APT 256",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 HIGHWAY 14 E",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559045101",
            "telephone_number": "507-258-7934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2534 Hennepin Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554053548",
            "country_code": "US",
            "telephone_number": "612-374-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "ROBERT",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14365",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D010356",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "D14365",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby R Splittstoesser, D.C.
• Richard L Sprague, LICSW
• Emily Jean Sprau
• Donald S Springer, CNP
• Donna Jean Springer, R.N., M.S.
• Sarah Mae Springer, CNP, APRN, DNP
• Mackenzie Rae-McCloud Springman, AU.D
• Meggan Sprout
• Juraj Sprung, M.D.
• Katherine Julia Spurlock, DO

• General Practice Dentistry in Rochester, MN
• Providers in Rochester, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.