Active NPI
Rory Sprouse, DMD
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1841478872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN013656
- Practice address
- 2231 Robinson Rd NE Ste 1
Marietta, GA 30068-2289 - Phone
- (770) 973-1380
- Fax
- (770) 973-1381
- NPI assigned
- Jan 31, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN013656 | GA | Primary |
Addresses
Primary practice location
2231 Robinson Rd NE Ste 1
Marietta, GA 30068-2289
Mailing address
854 Lecroy Dr NE
Marietta, GA 30068-2222
Phone (770) 973-1380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013656 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549497600000",
"number": "1841478872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 LECROY DR NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682222",
"telephone_number": "770-973-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 ROBINSON RD NE STE 1",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682289",
"telephone_number": "770-973-1380",
"fax_number": "770-973-1381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPROUSE",
"first_name": "RORY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2019-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.