Lindsay Spears DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9513 Issued in NC

Legal business name

LINDSAY SPEARS DDS PLLC

Practice address

1316 Davie Ave Ste B
Statesville, NC 28677-3561

Phone

(704) 873-2141

Fax

(704) 873-2110

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lindsay Brooke Spears, DDS

Title

Owner/Dentist

Phone

(704) 873-2141

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carolina Crossroads Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rudy Max Ketchie, DMD

  • General Practice Dentistry
  • Statesville, NC
  • NPI 1619912912
  NPD (past)

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1255719035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 DAVIE AVE STE B",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773561",
            "telephone_number": "704-873-2141",
            "fax_number": "704-873-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 DAVIE AVE STE B",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773561",
            "telephone_number": "704-873-2141",
            "fax_number": "704-873-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDSAY SPEARS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "704-873-2141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240578217",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Crossroads Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Petrinial Jozette Lewis, CCC-SLP
• Frank John Lichtenberger, MD, PHD
• Life Enhancement Medical Services PLLC
• Life Journey Care
• Lifespan, Inc.
• Kimberly Chevelle Linney, LPCA
• Dottie Linyard, CRNA
• Jennifer Joanne Lippel, MA, LCMHCA.
• Kyle Thomas Lipscomb, PA
• Shannon Brooke Little, RN; BSN

• General Practice Dentistry in Statesville, NC
• Providers in Statesville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.