Active NPI
Robert Ernest Spiller Jr., DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Scottsburg, IN
National Provider Identifier
1114935376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 9429
- Practice address
- 82 N Main St
Scottsburg, IN 47170-1652 - Phone
- (812) 288-6681
- NPI assigned
- Aug 4, 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9429 | IN | Primary |
Addresses
Primary practice location
82 N Main St
Scottsburg, IN 47170-1652
Mailing address
Greentree Dental BLDG
Clarksville, IN 47129
Phone (812) 288-6681
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 |
|---|---|---|---|
| 9429 | IN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114935376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "GREENTREE DENTAL BLDG",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "47129",
"telephone_number": "812-288-6681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 N MAIN ST",
"city": "SCOTTSBURG",
"state": "IN",
"postal_code": "471701652",
"telephone_number": "812-288-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILLER",
"first_name": "ROBERT",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IN",
"license": "9429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsburg, IN
- Don Kris Small, LMHC
- Pamela Marie Smock, M.A., CCC-SLP
- William H Snowden III, LCSW
- Maitri Soni, DMD
- Southern Indiana Physcial Therapy, LLC
- St. Luke'S Medical Ministry
- Stay at Home Care Inc
- Lisa E. Steele, M.S., C.C.C./SLP
- Still Water Individual and Family Therapy Services, Inc.
- Christopher Logan Stroud
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.