Organization Active NPI

Damon W. Spencer, D.DS, PLLC

  • Dental Clinic/Center
  • Plano, TX
National Provider Identifier
1073142568
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAMON W. SPENCER, D.DS, PLLC
Doing business as
Orofacial Pain Associates
Practice address
3604 Preston Rd Ste 500
Plano, TX 75093-8631
Phone
(972) 758-2200
Fax
(972) 758-2202
NPI assigned
Apr 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Authorized official

Name
Samantha Nunn
Title
Rda
Phone
(972) 758-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3604 Preston Rd Ste 500
Plano, TX 75093-8631

Mailing address

3604 Preston Rd Ste 500
Plano, TX 75093-8631
Phone (972) 758-2200

Other names 1

  • Orofacial Pain Associates Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@dallastmjpain.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1073142568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 PRESTON RD STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938631",
            "telephone_number": "972-758-2200",
            "fax_number": "972-758-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 PRESTON RD STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938631",
            "telephone_number": "972-758-2200",
            "fax_number": "972-758-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON W. SPENCER, D.DS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "NUNN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "RDA",
        "authorized_official_telephone_number": "972-758-2200"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@dallastmjpain.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3604 Preston Rd Ste 500",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750938631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Orofacial Pain Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; 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.