DR. SIOBHIAN MELINDA BACCHUS SPROTT (NPI# 1174771802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174771802 |
| Entity Type | Individual |
| Full Name | DR. SIOBHIAN MELINDA BACCHUS SPROTT |
| Other Name | DR. SIOBHIAN MELINDA BACCHUS |
| Credential | DDS, MPA |
| Practice Address |
3401 Georgia Ave Nw Washington DC 20010 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 2028295437 |
| Practice Fax Number | 2028299255 |
| Mailing Telephone | 7195761850 |
| Mailing Fax Number | 7199553470 |
| Enumeration Date | 2008-09-06 |
| Last Update Date | 2020-07-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN1857887 | MA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
15112 | MD | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DEN1000855 | DC | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401412318 | VA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 037892500 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3946 Minnesota Ave Ne, Washington, DC 200192661 | 6157500343 | 6159861705 |
| Street Address |
3401 GEORGIA AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730152851 | Aldred Vincent Williams | Dentist | 3401 Georgia Ave Nw, Washington, DC 20010-2501 | 2006-02-09 |
| 1316585631 | Hero Vision of Dc Pllc | Optometrist | 3401 Georgia Ave Nw, Washington, DC 20010-2501 | 2019-12-17 |
| 1629557996 | Navid Mehdipour | Dentist | 3401 Georgia Ave Nw, Washington, DC 20010-2501 | 2018-08-08 |
| 1679981005 | Hero Dental of Washington Dc PC | Dentist | 3401 Georgia Ave Nw, Washington, DC 20010-2501 | 2014-07-29 |
| 1740608827 | Chelsea Murphy | Dentist | 3401 Georgia Ave Nw, Washington, DC 20010-2501 | 2014-04-04 |
| 1437496775 | Vida Loloei Marsal | Dentist | 3401 Georgia Ave Nw, Washington, DC 20010-2501 | 2013-01-07 |
| 1861748014 | Sumati Kuntal | Dentist | 3401 Georgia Ave Nw, Washington, DC 20010-2501 | 2012-07-25 |
| 1336410729 | Sana P Augustus | Dentist | 3401 Georgia Ave Nw, Washington, DC 20010-2501 | 2012-01-18 |
| 1669627881 | Kwame Marcus Asomani | Dentist | 3401 Georgia Ave Nw, Washington, DC 20010 | 2008-12-02 |
| 1215116140 | Shakeya N Mundey | Dentist | 3401 Georgia Ave Nw, Washington, DC 20010-2501 | 2007-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235604711 | Pearson Pediatric Dentistry | Dentist | 2041 Martin Luther King Jr Ave Se Ste M11, Washington, DC 20020-7000 | 2018-10-10 |
| 1659882595 | Shiningstars Pediatric Dentistry PC | Dentist | 435 Ingraham St Ne, Washington, DC 20011 | 2017-10-18 |
| 1841738861 | Sarah Ann Lukeman | Dentist | 2013 Bunker Hill Rd Ne, Washington, DC 20018-3223 | 2017-02-09 |
| 1629451430 | Capital Kids Dentistry LLC | Dentist | 4200 Wisconsin Ave Nw Ste 240, Washington, DC 20016-2143 | 2015-06-30 |
| 1346620929 | Sterling Roberts | Dentist | 6323 Georgia Ave Nw Ste 201, Washington, DC 20011-1141 | 2015-06-09 |
| 1144631706 | Dc Light Dental, PC | Dentist | 1331 Pennsylvania Ave Nw Ste 502, Washington, DC 20004-1771 | 2014-05-16 |
| 1174949101 | Roma Gandhi | Dentist | 4910 Massachusetts Ave Nw Ste 311, Washington, DC 20016-4368 | 2014-03-14 |
| 1043539570 | Seungwon Yoon | Dentist | 1145 19th St Nw Ste 714, Washington, DC 20036-3713 | 2010-05-24 |
| 1003041328 | Siamak Sy Majidi | Dentist | 3239 N St Nw Apt 12, Washington, DC 20007-2834 | 2009-05-17 |
| 1720297344 | St.elmo W. Crawford D.d.s.p.c. | Dentist | 1922 Benning Rd Ne, Washington, DC 20002-4724 | 2007-05-21 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20010 |
Please comment or provide details below to improve the information on DR. SIOBHIAN MELINDA BACCHUS SPROTT.
| 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.