Active NPI
Richard Michael Spence, DDS
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1083798730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14249
- Practice address
- 2200 Los Rios Blvd
Suite #100
Plano, TX 75074 - Phone
- (972) 423-5499
- Fax
- (972) 633-5869
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14249 | TX | Primary |
Addresses
Primary practice location
2200 Los Rios Blvd
Suite #100
Plano, TX 75074
Mailing address
2200 Los Rios Blvd
Suite #100
Plano, TX 75074
Phone (972) 423-5499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D14249 | Other | TX | BX# |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14249 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083798730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 LOS RIOS BLVD",
"address_2": "SUITE #100",
"city": "PLANO",
"state": "TX",
"postal_code": "75074",
"telephone_number": "972-423-5499",
"fax_number": "972-633-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 LOS RIOS BLVD",
"address_2": "SUITE #100",
"city": "PLANO",
"state": "TX",
"postal_code": "75074",
"telephone_number": "972-423-5499",
"fax_number": "972-633-5869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCE",
"first_name": "RICHARD",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "14249",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BX#",
"identifier": "D14249",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.