Active NPI
Spencer Allen
- General Practice Dentistry
- West Richland, WA
National Provider Identifier
1215870589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- STUDENT
- Practice address
- 4476 W Van Giesen St Unit a
West Richland, WA 99353-5411 - Phone
- (509) 967-3421
- NPI assigned
- Apr 13, 2026
- Last updated
- Apr 13, 2026
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | STUDENT | WA | Primary |
Addresses
Primary practice location
4476 W Van Giesen St Unit a
West Richland, WA 99353-5411
Mailing address
4476 W Van Giesen St Unit a
West Richland, WA 99353-5411
Phone (509) 967-3421
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 |
|---|---|---|---|
| STUDENT | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1215870589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4476 W VAN GIESEN ST UNIT A",
"city": "WEST RICHLAND",
"state": "WA",
"postal_code": "993535411",
"telephone_number": "509-967-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4476 W VAN GIESEN ST UNIT A",
"city": "WEST RICHLAND",
"state": "WA",
"postal_code": "993535411",
"telephone_number": "509-967-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "SPENCER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-13",
"last_updated": "2026-04-13",
"certification_date": "2026-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WA",
"license": "STUDENT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.