Organization Active NPI

Brian D Sperber DDS LLC

  • Dental Clinic/Center
  • Kewaunee, WI
National Provider Identifier
1811449291
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7073 Issued in WI
Legal business name
BRIAN D SPERBER DDS LLC
Practice address
1112 Lincoln St
Kewaunee, WI 54216-1602
Phone
(920) 388-5200
NPI assigned
Nov 1, 2016
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Dr. Brian Daniel Sperber, D.D.S.NPI 1962744474
Title
General Dentist
Phone
(920) 388-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7073 WI Primary

Addresses

Primary practice location

1112 Lincoln St
Kewaunee, WI 54216-1602

Mailing address

1112 Lincoln St
Kewaunee, WI 54216-1602
Phone (920) 388-5200

National Provider Directory

National Provider Directory

Locations

1112 Lincoln St
Kewaunee, WI 54216
Phone (920) 388-5200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1811449291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 LINCOLN ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161602",
            "telephone_number": "920-388-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 LINCOLN ST",
            "city": "KEWAUNEE",
            "state": "WI",
            "postal_code": "542161602",
            "telephone_number": "920-388-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN D SPERBER DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "SPERBER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "920-388-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "7073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kewaunee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.