Active NPI
Spencer Reid Fair, DMD
- Dentist
- Rock Hill, SC
National Provider Identifier
1164099479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9912
- Practice address
- 1334 Ebenezer Rd
Rock Hill, SC 29732-2337 - Phone
- (803) 902-4518
- NPI assigned
- Jun 6, 2021
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9912 | SC | Primary |
Addresses
Primary practice location
1334 Ebenezer Rd
Rock Hill, SC 29732-2337
Mailing address
327 W Tremont Ave Apt 134
Charlotte, NC 28203-6159
Phone (859) 421-5705
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 |
|---|---|---|---|
| 9912 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622937600000",
"number": "1164099479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "327 W TREMONT AVE APT 134",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282036159",
"telephone_number": "859-421-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1334 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322337",
"telephone_number": "803-902-4518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "SPENCER",
"middle_name": "REID",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-06",
"last_updated": "2021-06-06",
"certification_date": "2021-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.