Individual provider Active NPI

Kevin Daniel Priest, DDS

  • Dentist
  • Ashland, OH
National Provider Identifier
1043526577
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30-023255 Issued in OH
Practice address
910 Katherine Ave
Michael D. Spreng DDS, Inc
Ashland, OH 44805-3692
Phone
(419) 289-1813
NPI assigned
Aug 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30-023255 OH Primary

Addresses

Primary practice location

910 Katherine Ave
Michael D. Spreng DDS, Inc
Ashland, OH 44805-3692

Mailing address

910 Katherine Ave
Michael D. Spreng DDS, Inc
Ashland, OH 44805-3692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621001390 OH Order and Referring Only - DentistPractitioner - Dentist 6507157609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023255OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1282348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1043526577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 KATHERINE AVE",
            "address_2": "MICHAEL D. SPRENG DDS, INC",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 KATHERINE AVE",
            "address_2": "MICHAEL D. SPRENG DDS, INC",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448053692",
            "telephone_number": "419-289-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIEST",
        "first_name": "KEVIN",
        "middle_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-21",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OH

Sources for this page

Verify at the official NPI Registry.