Speck Endodontics, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN21083 Issued in FL

Legal business name

SPECK ENDODONTICS, LLC

Practice address

6470 Tippin Ave
Pensacola, FL 32504-8143

Phone

(850) 969-1060

Fax

(850) 969-9324

NPI assigned

Mar 5, 2015

Last updated

Mar 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Haines Speck, DDSNPI 1730258393

Title

Endodontist

Phone

(210) 542-2080

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Haines Speck Sr., D.D.S.

  • Endodontics
  • Pensacola, FL
  • NPI 1730258393
  Authorized official Same address or phone

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1265825889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 TIPPIN AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048143",
            "telephone_number": "850-969-1060",
            "fax_number": "850-969-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 TIPPIN AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048143",
            "telephone_number": "850-969-1060",
            "fax_number": "850-969-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECK ENDODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "SPECK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "HAINES",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "210-542-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN21083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Matthew Spatz, MD, PHD
• Carl H Spear, OD
• Lauren Vaughn Specht, PA-C
• Specialty Operating Investments LLC
• Specialty Vehicles Southeast, Inc (Fleetco)
• Stephen Haines Speck Sr., D.D.S.
• Spectrum House Inc
• Spectrum House Inc.
• Spectrum Specialist, LLC
• Speech & Neurorehab Center Inc

• Endodontics in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.