NPIMap

Organization Active NPI

Sprout Pediatric Dental

  • Pediatric Dentistry
  • Pittston, PA
National Provider Identifier
1669150355
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SPROUT PEDIATRIC DENTAL
Practice address
1073 Oak St Ste D
Pittston, PA 18640-3716
Phone
(570) 253-0358
Fax
(570) 352-3395
NPI assigned
Jul 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Katherine Rosalie Schloesser, DMDNPI 1033373485
Title
Owner
Phone
(570) 253-0358

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1073 Oak St Ste D
Pittston, PA 18640-3716

Mailing address

554 Hamlin Hwy
Lake Ariel, PA 18436-9319
Phone (570) 253-0358

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

1073 Oak St
Ste D
Pittston, PA 18640
Phone (570) 253-0358

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1669150355",
    "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": "570-253-0358",
            "fax_number": "570-352-3395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 OAK ST STE D",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403716",
            "telephone_number": "570-253-0358",
            "fax_number": "570-352-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUT PEDIATRIC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "SCHLOESSER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ROSALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-253-0358",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.