Spot 2, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2008019818 Issued in MO

Legal business name

SPOT 2, LLC

Practice address

1324 E Montclair St
Springfield, MO 65804-4245

Phone

(417) 886-9939

NPI assigned

Feb 17, 2016

Last updated

Feb 17, 2016By 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

Shayna Bahr, DMD

Title

Member

Phone

(303) 524-4501

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1285093328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 PIONEER AVE",
            "address_2": "STE 5651A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 E MONTCLAIR ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044245",
            "telephone_number": "417-886-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOT 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "BAHR",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-524-4501",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2008019818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don D. Sponenberg, MD
• Steven C Sponenberg, D.D.S.
• Barry D Spoon, DO
• Leah Nicole Spoonts, FNP-C
• Spot 1, LLC (The Smile Spot)
• Spring Ridge Residential, LLC (Spring Ridge Assisted Living)
• Springfield Behavioral Hospital, LLC (Perimeter Behavioral Hospital of Springfield)
• Springfield Celebrate Pediatrics LLC
• Springfield Dental Partners LLC (Smiles Made Perfect Dental Partners)
• Springfield Dentistry 4 Kids LLC (Springfield Dentistry 4 Kids)

• Orthodontics and Dentofacial Orthopedics Dentistry in Springfield, MO
• Providers in Springfield, MO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.