Michael Jay Spink, DDS, MD

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

21824 Issued in MA

Practice address

285 High St
Greenfield, MA 01301-2608

Phone

(603) 357-3709

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, VT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Maxillofacial SurgeryAlso: Oral Surgery

Education

New York University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connecticut Valley Oral Surgery Associates, PCGroup PAC ID 0648272534, shared by 3 NPIs, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Connecticut Valley Oral Surgery Associates, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Greenfield, MA
  • NPI 1285655217
  Medicare reassignment NPD
• Connecticut Valley Oral Surgery Associates, PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Brattleboro, VT
  • NPI 1912928946
  Medicare reassignment NPD
• Maxillofacial & Implant Surgery of Western Mass PC

  • Oral and Maxillofacial Surgery (Dentist)
  • East Longmeadow, MA
  • NPI 1134716640
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baystate Medical Center Inc

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1487655064
  Care Compare affiliation
• Baystate Medical Center Inc

  • Clinical Medical Laboratory
  • Springfield, MA
  • NPI 1568488450

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1275744310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OXFORD RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061529",
            "telephone_number": "646-522-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 HIGH ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012608",
            "telephone_number": "603-357-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINK",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "21824",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "21824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Sontag, LICSW
• Leanne Marion Souksanh
• Irene Rose Soulos, PA
• Molly Spatcher, O.D.
• Margaret H. Spicer, MSW, LICSW
• Matthew Jonathan Spitzer, MD
• Sports Medicine Inc.
• Sports Medicine Inc.
• Maddox Jeffrey Sprengel
• Marlena Ashley Springstubb, CNM

• Oral & Maxillofacial Surgery (D.M.D.) in Greenfield, MA
• Providers in Greenfield, MA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.