Lauran Ruth Spencer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6039 Issued in OK

Practice address

9060 Harmony Dr
Suite D
Midwest City, OK 73130-6218

Phone

(405) 132-1012

Fax

(405) 733-8296

NPI assigned

Jun 23, 2008

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Spencer Family Dentistry

  • Dentist
  • Midwest City, OK
  • NPI 1730472101
  NPD (past) Authorized official

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1053572982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MIDTOWN PL",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306348",
            "telephone_number": "405-834-1312",
            "fax_number": "405-733-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 HARMONY DR",
            "address_2": "SUITE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731306218",
            "telephone_number": "405-132-1012",
            "fax_number": "405-733-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "LAURAN",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialty Hospital of Midwest City Operator LLC (Specialty Hospital of Midwest City)
• Spectra Family Medical Clinic LLC
• Spectra Mental Health
• Spectra Urgent Care, LLP (Spectra Medical Care)
• Spencer Family Dentistry
• Madison Rhea Spencer, MOTR/L
• Michael P Spencer
• Shianne R Spencer
• Jennifer A Spinelli, MPT
• Sarah Nicole Springer

• General Practice Dentistry in Midwest City, OK
• Providers in Midwest City, OK by specialty
• General Practice Dentistry in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.