Active NPI
Joseph F Spera, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, DE
National Provider Identifier
1043204027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 1158
- Practice address
- 2101 Foulk Rd
Wilmington, DE 19810-4710 - Phone
- (302) 475-1122
- Fax
- (302) 475-1151
- NPI assigned
- Sep 7, 2005
- Last updated
- Nov 28, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1158 | DE | Primary |
Addresses
Primary practice location
2101 Foulk Rd
Wilmington, DE 19810-4710
Mailing address
2101 Foulk Rd
Wilmington, DE 19810-4710
Phone (302) 475-1122
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001189701 | Medicaid | DE | |
| 2843429 | Other | DE | AETNA |
| 731651766 | Other | DE | BCBS OF DE |
| 731651766 | Other | DELTA DENTAL | |
| 0001189701 | Other | DE | DIAMOND STATE |
| 1000032546 | Other | DE | DELAWARE PHYS CARE INC |
| 177496 | Other | DE | COVENTRY |
| 731651766 | Other | GUARDIAN DENTAL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1158 | DE | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Jefferson University | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, DE
- NPI 1760675730
-
dba Jefferson Elder Care
- Occupational Therapist
- Philadelphia, PA
- NPI 1235378209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1043204027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 FOULK RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104710",
"telephone_number": "302-475-1122",
"fax_number": "302-475-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 FOULK RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198104710",
"telephone_number": "302-475-1122",
"fax_number": "302-475-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERA",
"first_name": "JOSEPH",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "DE",
"license": "1158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001189701",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2843429",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF DE",
"identifier": "731651766",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "731651766",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIAMOND STATE",
"identifier": "0001189701",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELAWARE PHYS CARE INC",
"identifier": "1000032546",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "177496",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GUARDIAN DENTAL",
"identifier": "731651766",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.