Organization Active NPI

Sparrow Dental LLC

  • General Practice Dentistry
  • Sherwood, OR
National Provider Identifier
1932816618
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SPARROW DENTAL LLC
Practice address
21319 SW Sherwood Blvd
Sherwood, OR 97140-9218
Phone
(503) 822-6464
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Eric Gerlach, DMDNPI 1134651219
Title
General Dentist
Phone
(503) 822-6464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

21319 SW Sherwood Blvd
Sherwood, OR 97140-9218

Mailing address

557 N 8TH PL
Carlton, OR 97111-1029
Phone (503) 985-9719

National Provider Directory

National Provider Directory

Locations

21319 SW Sherwood Blvd
Sherwood, OR 97140
Phone (503) 625-4100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1932816618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 N 8TH PL",
            "city": "CARLTON",
            "state": "OR",
            "postal_code": "971111029",
            "telephone_number": "503-985-9719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21319 SW SHERWOOD BLVD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409218",
            "telephone_number": "503-822-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "GERLACH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "503-822-6464",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.