Pauline Spencer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

25848 Issued in TX

Practice address

503 Dance Dr
West Columbia, TX 77486-4019

Phone

(979) 345-1023

NPI assigned

Jan 18, 2007

Last updated

Apr 6, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• West Brazos Orthodontics and Dental PLLC

  • Dentist
  • West Columbia, TX
  • NPI 1447635172
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1093867038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 JOSHUA TREE LN",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783494",
            "telephone_number": "832-285-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 DANCE DR",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774864019",
            "telephone_number": "979-345-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "PAULINE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "NM2812",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Ricks Jr., M.D.
• Kalyn Janece Riley, DDS
• Robert L. Coburn, D.C.,P.C.
• Carolyn Schneider
• Paula Seiler
• Janet Ann Spicer III
• Sweeny Hospital District (West Columbia Rural Health Clinic)
• Tot Pharmacy
• Tot Pharmacy LLC (Tot Pharmacy)
• Total Physical Therapy & Rehab

• Dentist in West Columbia, TX
• Providers in West Columbia, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.