NPIMap

Organization Active NPI

Progressive Dental of Norwich, PLLC

  • General Practice Dentistry
  • Norwich, NY
National Provider Identifier
1962417402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PROGRESSIVE DENTAL OF NORWICH, PLLC
Practice address
101 S Broad St
Norwich, NY 13815-1742
Phone
(607) 334-8666
Fax
(607) 754-9526
NPI assigned
Jul 31, 2006
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. Herman Sonny Spera III, DDS
Title
Owner
Phone
(607) 334-8666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

101 S Broad St
Norwich, NY 13815-1742

Mailing address

101 S Broad St
Norwich, NY 13815-1742
Phone (607) 334-8666

National Provider Directory

National Provider Directory

Locations

101 S Broad St
Norwich, NY 13815
Phone (607) 334-8666

Practitioners & affiliated clinicians

Practitioners 2

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962417402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BROAD ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151742",
            "telephone_number": "607-334-8666",
            "fax_number": "607-754-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BROAD ST",
            "city": "NORWICH",
            "state": "NY",
            "postal_code": "138151742",
            "telephone_number": "607-334-8666",
            "fax_number": "607-754-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE DENTAL OF NORWICH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPERA",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "SONNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-334-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, NY

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.