What is Derick Sovereign's NPI number?

Derick Sovereign's National Provider Identifier (NPI) is 1245073287, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Derick Sovereign's specialty?

Derick Sovereign is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).

Where is Derick Sovereign located?

Derick Sovereign's practice location on file with NPPES is 3765 E Blue Lupine Dr Ste a, Wasilla, AK 99654-8417.

What is Derick Sovereign's phone number?

The practice phone number listed in the NPPES registry for Derick Sovereign is (480) 341-0791.

Is Derick Sovereign's NPI active?

Yes — Derick Sovereign's NPI (1245073287) is active in the NPPES registry as of the last update on 2024-06-17.

IndividualActive

Derick Sovereign, DMD

NPI 1245073287 · Dentist · Wasilla, AK

Derick Sovereign, DMD is a Dentist provider in Wasilla, AK (NPI 1245073287).

Provider details

NPI number: 1245073287
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: DMD
Sex: Male
Sole proprietor: Yes
License: 224623 (AK)

Specialties & taxonomies

DentistPrimary122300000XLicense 224623 (AK)
Dental Providers

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3765 E Blue Lupine Dr Ste a

Wasilla, AK 99654-8417

Phone: (480) 341-0791

Street-level locationGet directions

More AK providers

Mailing address