Active NPI
Sonja Ann Sproul Hamon, DDS
- Dentist
- Eugene, OR
National Provider Identifier
1730437450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D9774
- Practice address
- 1585 Coburg Road
Eugene, OR 97401 - Phone
- (541) 689-2001
- Fax
- (541) 463-1263
- NPI assigned
- Aug 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D9774 | OR | Primary |
Addresses
Primary practice location
1585 Coburg Road
Eugene, OR 97401
Mailing address
1585 Coburg Road
Eugene, OR 97401
Phone (541) 689-2001
Other names 1
- Sonja Ann Sproul
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160603001500 | OR | Order and Referring Only - Dentist | 3971893918 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9774 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1730437450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 COBURG ROAD",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"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": "1585 COBURG ROAD",
"city": "EUGENE",
"state": "OR",
"postal_code": "97401",
"telephone_number": "541-689-2001",
"fax_number": "541-463-1263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMON",
"first_name": "SONJA",
"middle_name": "ANN SPROUL",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D9774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SONJA",
"last_name": "SPROUL",
"middle_name": "ANN",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
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 27, 2021; 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.