Organization Active NPI

Spanish Springs Family Dental

  • General Practice Dentistry
  • Sparks, NV
National Provider Identifier
1912125162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3323 Issued in NV
Legal business name
SPANISH SPRINGS FAMILY DENTAL
Practice address
5050 Vista Blvd
Suite 107
Sparks, NV 89436-2844
Phone
(775) 626-6556
Fax
(775) 626-6564
NPI assigned
Apr 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher John Bennet, DDS
Title
Owner
Phone
(775) 626-6556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3323 NV Primary

Addresses

Primary practice location

5050 Vista Blvd
Suite 107
Sparks, NV 89436-2844

Mailing address

5050 Vista Blvd
Suite 107
Sparks, NV 89436-2844
Phone (775) 626-6556

National Provider Directory

National Provider Directory

Locations

5050 Vista Blvd
Unit 107
Sparks, NV 89436
Phone (775) 626-6556

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912125162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 VISTA BLVD",
            "address_2": "SUITE 107",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362844",
            "telephone_number": "775-626-6556",
            "fax_number": "775-626-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 VISTA BLVD",
            "address_2": "SUITE 107",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362844",
            "telephone_number": "775-626-6556",
            "fax_number": "775-626-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPANISH SPRINGS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNET",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-626-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "3323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.