DR. FREDERIC G. SPERRY (NPI# 1023164746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023164746 |
| Entity Type | Individual |
| Full Name | DR. FREDERIC G. SPERRY |
| Credential | D.D.S. |
| Practice Address |
607 Ray Jacobs Dr. Omaha TX 75571-0000 |
| Mailing Address |
Po Box 1094 Omaha TX 75571-1094 |
| Practice Telephone | 9038842321 |
| Practice Fax Number | 9038843373 |
| Mailing Telephone | 9038842321 |
| Mailing Fax Number | 9038843373 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12156 | TX | Dental Providers |
| Street Address |
607 RAY JACOBS DR. |
| City | OMAHA |
| State | TX |
| Zip Code | 75571-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336368489 | Amelia L Stevens | Psychiatry & Neurology | 101 Joyner St, Omaha, TX 75571 | 2007-04-25 |
| 1821115130 | Pewitt Isd | Local Education Agency (LEA) | 1330 Us Hwy 67 West, Omaha, TX 75571 | 2007-03-23 |
| 1447211271 | Nexion Health At Omaha, Inc. | Skilled Nursing Facility | 205 Giles St, Omaha, TX 75571-4013 | 2006-03-31 |
| 1295275832 | Balakumar Periyasamy | Contractor | 205 Giles St, Omaha, TX 75571-4013 | 2017-03-01 |
| 1124475827 | Inspire Omaha Health LLC | Skilled Nursing Facility | 205 Giles St, Omaha, TX 75571-4013 | 2016-05-23 |
| 1316155765 | Patricia A Harpe | Counselor | 418 Omaha Dr, Omaha, TX 75571-4131 | 2007-05-18 |
| 1427344712 | Stephen A Sperry | Dentist | 607 Ray Jacobs Ave, Omaha, TX 75571-4142 | 2011-06-24 |
| 1881888691 | Deborah A Cason | Massage Therapist | 200 Big League Bnd, Omaha, TX 75571-4147 | 2007-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538129 | Ellie Watkins | Speech-Language Pathologist | 6717 N 63rd St, Omaha, NE 68152-2210 | 2020-11-06 |
| 1508467507 | Simaira's Quality Care, LLC | Home Health | 4235 Grand Ave, Omaha, NE 68111-1852 | 2020-11-05 |
| 1508467580 | Stephen Lazoritz | Pediatrics | 4245 S 121st Plz, Omaha, NE 68137-2132 | 2020-11-05 |
| 1659972792 | Ventura Medstaff LLC | Nursing Care | 11420 Blondo St Ste 103, Omaha, NE 68164-3858 | 2020-11-05 |
| 1225639255 | Josue Leonel Ortizmelara | Registered Nurse | 4101 Woolworth Ave # 4199, Omaha, NE 68105-1850 | 2020-11-05 |
| 1407457690 | Vision Specialists On Harrison LLC | Optometrist | 6720 S 178th Street, Omaha, NE 68135 | 2020-11-04 |
| 1164023321 | Omaha Mental Health LLC | Counselor | 12305 Gold St Ste 13, Omaha, NE 68144-2760 | 2020-11-04 |
| 1598365249 | Kenneth Fuchtman | Pharmacist | 4969 S 174th Ave, Omaha, NE 68135-3463 | 2020-10-30 |
| 1164022828 | Caitlin Korbelik | Nurse Practitioner | 982315 Nebraska Medical Ctr, Omaha, NE 68198-2315 | 2020-10-30 |
| 1750981635 | Jeffrey Ratter | Colon & Rectal Surgery | 9850 Nicholas St # 150, Omaha, NE 68114-2186 | 2020-10-29 |
| Find all providers in OMAHA | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982240024 | Autumn Brown | Dentist | 989375 Nebraska Medical Ctr Fl Center3, Omaha, NE 68198-9375 | 2019-11-25 |
| 1407411507 | Today's Dental 74th Plaza, LLC | Dentist | 900 S 74th Plz Ste 300, Omaha, NE 68114-4667 | 2019-05-03 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1184119547 | Nbd Lincoln PC | Dentist | 2456 S 120th St, Omaha, NE 68144-2811 | 2018-06-28 |
| 1538664255 | Ss Green & Dentistry Associates LLC | Dentist | 3525 N 147th St Ste 213, Omaha, NE 68116-8262 | 2018-03-26 |
| 1487155073 | Nicole T Nelson | Dentist | 5805 Manderson St, Omaha, NE 68104-2939 | 2018-02-28 |
| 1588176887 | Jerald E. Mcmanigal, Dds, PC | Dentist | 13518 W Center Rd, Omaha, NE 68144-3408 | 2017-10-27 |
| 1467971457 | James Donald O'meara | Dentist | 780729 California Plz, Omaha, NE 68178-0012 | 2017-09-12 |
| 1801318142 | Trason Lyle Shoquist | Dentist | 15304 Howe St, Omaha, NE 68144-5416 | 2017-07-07 |
| 1144750449 | John Paul Kersenbrock | Dentist | 13808 W Maple Rd Ste 112, Omaha, NE 68164-6231 | 2017-06-19 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.