Damon Wayne Spencer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14130 Issued in TX

Practice address

8355 Walnut Hill LN Ste 130
Dallas, TX 75231-4240

Phone

(214) 361-2208

Fax

(214) 377-5049

NPI assigned

May 11, 2009

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 21, 2022 through Apr 21, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orofacial Pain & Sleep Center, PLLC

  • Orofacial Pain Dentistry
  • Plano, TX
  • NPI 1588489876
  NPD
• Longview Wellness Center Inc

  • Federally Qualified Health Center (FQHC)
  • Longview, TX
  • NPI 1447910542
  NPD (past)
• MFB Dental PLLC

  • Dental Clinic/Center
  • Dallas, TX
  • NPI 1114743523
  NPD (past)
• Teap PLLC

  • Dentist
  • Dallas, TX
  • NPI 1790292357
  NPD (past)

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1093949679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 WALNUT HILL LN STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314240",
            "telephone_number": "214-361-2208",
            "fax_number": "214-377-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 WALNUT HILL LN STE 130",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314240",
            "telephone_number": "214-361-2208",
            "fax_number": "214-377-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DAMON",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Marie Spence, D.D.S
• Brian Spence, PHARMD
• Claire Spence, DMD
• Lindsey Spence
• Brandi Louise Spencer, P.A.
• Gregory Dan Spencer, BS
• Lee Samuel Spencer, M.D.
• Marcel J Spencer, LMSW, CCM
• Marissa Blaire Spencer, PA-C
• Monica Mosley Spencer, RN, FNP

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.