Individual provider Active NPI

Daniel Joseph Spagnoli, D.M.D.

  • Dentist
  • Asheville, NC
National Provider Identifier
1255719506
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13550 Issued in NC
Practice address
206 Flathouse Dr
Asheville, NC 28804-0166
Phone
(321) 446-4833
NPI assigned
May 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN19845 FL
Dentist 122300000X 0401417761 VA
Dentist 122300000X 13550 NC Primary

Addresses

Primary practice location

206 Flathouse Dr
Asheville, NC 28804-0166

Mailing address

206 Flathouse Dr
Asheville, NC 28804-0166
Phone (321) 446-4833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240507004517 NC Practitioner - Dentist 2365883428 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN19845FLMDDentist
0401417761VAMDDentist
13550NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Erin Rake, DDS, P.C. Dentist CurrentSince Apr 23, 2024 Accepting new patients
Jan L. Spagnoli DDS PA Dentist Past Accepting new patients
John Farah PA PastSince May 8, 2022 Accepting new patients

Locations

8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112

201 McCullough Dr
Ste 180
Charlotte, NC 28262
Phone (704) 228-8495

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1255719506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 FLATHOUSE DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288040166",
            "telephone_number": "321-446-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 FLATHOUSE DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288040166",
            "telephone_number": "321-446-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNOLI",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19845",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417761",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.