Individual provider Active NPI

Howard Spring, D.M.D.

  • Dentist
  • Worcester, MA
National Provider Identifier
1053462556
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
015840 Issued in MA
Practice address
94 June St
Worcester, MA 01602-2950
Phone
(508) 756-2210
Fax
(508) 799-0941
NPI assigned
Jan 13, 2007
Sex
Male
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
Dentist 122300000X 015840 MA Primary

Addresses

Primary practice location

94 June St
Worcester, MA 01602-2950

Mailing address

94 June St
Worcester, MA 01602-2950
Phone (508) 756-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20151005002317 MA Order and Referring Only - DentistPractitioner - Dentist 8527376912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015840MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053462556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 JUNE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022950",
            "telephone_number": "508-756-2210",
            "fax_number": "508-799-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 JUNE ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016022950",
            "telephone_number": "508-756-2210",
            "fax_number": "508-799-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRING",
        "first_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "015840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.