Individual provider Active NPI

Spencer Armuth, DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Las Vegas, NV
National Provider Identifier
1194145227
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
S2-172 Issued in NV
Practice address
1701 W Charleston Blvd Ste 520
Las Vegas, NV 89102-2309
Phone
(702) 750-9444
NPI assigned
Apr 16, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X S2-172 NV Primary

Addresses

Primary practice location

1701 W Charleston Blvd Ste 520
Las Vegas, NV 89102-2309

Mailing address

1701 W Charleston Blvd Ste 520
Las Vegas, NV 89102-2309
Phone (702) 750-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 15, 2025 through Aug 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada Oral and Maxillofacial Surgery Oral and Maxillofacial Surgery PastSince Sep 25, 2022 Accepting new patients
Dr. Michel Daccache Oral and Maxillofacial Surgery , LTD Oral and Maxillofacial Surgery PastSince Sep 6, 2020 Accepting new patients
Renown Regional Medical Center Single Specialty Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1194145227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 520",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022309",
            "telephone_number": "702-750-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W CHARLESTON BLVD STE 520",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022309",
            "telephone_number": "702-750-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMUTH",
        "first_name": "SPENCER",
        "credential": "DMD MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-16",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NV",
            "license": "S2-172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.