Individual provider Active NPI

A. Keyla Springe, D.D.S.

  • General Practice Dentistry
  • Paso Robles, CA
National Provider Identifier
1023167996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40523 Issued in CA
Practice address
143 Niblick Rd
Paso Robles, CA 93446-4844
Phone
(805) 226-8126
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40523 CA Primary

Addresses

Primary practice location

143 Niblick Rd
Paso Robles, CA 93446-4844

Mailing address

143 Niblick Rd
Paso Robles, CA 93446-4844
Phone (805) 226-8126

Other identifiers 2

IdentifierTypeStateIssuer
711004208OtherCAFEDERAL TAX ID
342069OtherCAUNITED CONCORDIA PROV ID

Other names 1

  • Ana Keyla Amaral-Springe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40523CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023167996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 NIBLICK RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464844",
            "telephone_number": "805-226-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 NIBLICK RD",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934464844",
            "telephone_number": "805-226-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGE",
        "first_name": "A. KEYLA",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "711004208",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROV ID",
            "identifier": "342069",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA KEYLA",
            "last_name": "AMARAL-SPRINGE",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.