Kayla R Spencer, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D012713 Issued in AZ

Practice address

40930 N Ironwood Dr Ste 113-115
Queen Creek, AZ 85140-8829

Phone

(480) 999-9091

NPI assigned

Jul 21, 2017

Last updated

Feb 25, 2026By the provider in NPPES

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1144743188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40930 N IRONWOOD DR STE 113-115",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851408829",
            "telephone_number": "480-999-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40930 N IRONWOOD DR STE 113-115",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851408829",
            "telephone_number": "480-999-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "KAYLA",
        "middle_name": "R",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khristina Sorge
• Soul by Skye
• Southwest Dental Professionals PLLC
• Southwest Pain & Spine Center LLC
• Emily Anne Spencer, MAS-MFT, LMFT
• Spine Orthopedic & Sports Physical Therapy
• Spine Orthopedic & Sports Physical Therapy Inc.
• Spinewise LLC
• Laurie St. Germain, PHARMD
• Robert D Stangl, MD

• Dentist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.