Andrew R. Sperle, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7056 Issued in CO

Practice address

4020 Palmer Park Blvd
Suite 103a
Colorado Springs, CO 80909-3402

Phone

(719) 597-6100

Fax

(719) 597-0225

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841397619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PALMER PARK BLVD",
            "address_2": "SUITE 103A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093402",
            "telephone_number": "719-597-6100",
            "fax_number": "719-597-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PALMER PARK BLVD",
            "address_2": "SUITE 103A",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093402",
            "telephone_number": "719-597-6100",
            "fax_number": "719-597-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERLE",
        "first_name": "ANDREW",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Jo Spencer, PHARMD
• Savana Spencer
• Meldon Marie Spendlove
• Luanne Sperando, MD
• Brian R Sperber, M.D., PH.D.
• Spero's Lighthouse
• Louis Vincent Spicciati, D.D.S.
• Cheryl Ann Spice, NP
• Deberah J Spicer, RN
• Jefferson M Spicher, FNP

• General Practice Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.