Brett Spalding, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019027755 Issued in IL

Practice address

515 N Monroe St
Litchfield, IL 62056-1534

Phone

(217) 324-7900

Fax

(217) 324-7929

NPI assigned

Jul 16, 2008

Last updated

Jul 16, 2008By the provider in NPPES

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

Enrolled in IL

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

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.

• Affordable Dentistry Today, PC

  dba Affordable Dentistry Today - Litchfield

  • General Practice Dentistry
  • Litchfield, IL
  • NPI 1558583096
  NPD (past)
• Lifetime Dental Care of Illinois, PC

  dba Montvale Dental Center

  • General Practice Dentistry
  • Springfield, IL
  • NPI 1720200074
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1184888430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N MONROE ST",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620561534",
            "telephone_number": "217-324-7900",
            "fax_number": "217-324-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N MONROE ST",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620561534",
            "telephone_number": "217-324-7900",
            "fax_number": "217-324-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALDING",
        "first_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019027755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry D Shapiro, D.M.D.
• Short Furniture Co., Inc.
• Emily Sinclair
• Kari Jo Skertich, D.C.
• Theresa Ann Snyders, FNP
• St Francis Hospital of the Hospital Sisters of the Third Order of St F (St. Francis Hospital)
• St Francis Hospital of the Hospital Sisters of the Third Order of St F
• St Francis Hospital of the Hospital Sisters of the Third Order of St F
• St Francis Hospital of the Hospital Sisters of the Third Order of St F
• St. Francis Hospital Hospice

• Dentist in Litchfield, IL
• Providers in Litchfield, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.