Active NPI
Spencer Joseph Starley, DDS
- Dentist
- Fremont, MI
National Provider Identifier
1275062390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901600282
- Practice address
- 517 N Stone Rd Ste 102
Fremont, MI 49412-8629 - Phone
- (231) 924-5542
- NPI assigned
- Jun 12, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2901600282 | MI | Primary |
Addresses
Primary practice location
517 N Stone Rd Ste 102
Fremont, MI 49412-8629
Mailing address
200 E 10TH Street
Big Stone Gap, VA 24219
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 |
|---|---|---|---|
| 2901600282 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Fair and Niquette PC | Dentist | Past | Accepting new patients |
| Kevin M Allred DDS PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Fremont, MI
- NPI 1508289125
-
dba Powell Valley Dental
- General Practice Dentistry
- Big Stone Gap, VA
- NPI 1902490840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1275062390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 10TH STREET",
"city": "BIG STONE GAP",
"state": "VA",
"postal_code": "24219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 N STONE RD STE 102",
"city": "FREMONT",
"state": "MI",
"postal_code": "494128629",
"telephone_number": "231-924-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARLEY",
"first_name": "SPENCER",
"middle_name": "JOSEPH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-12",
"last_updated": "2021-09-21",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901600282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, MI
- Kourtney Snyder
- Amie Spangler, MS CCC-SLP
- Spectrum Health Hospitals
- Spectrum Health Primary Care Partners (Corewell Health Medical Group West)
- Spectrum Health Primary Care Partners (Spectrum Health Medical Group)
- Melissa Stevens
- Cathy L Stout, PA
- Adam Evan Strantz, PA-C
- Shana Marie Strantz, PA
- Cymber Bre Stroven, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.