Jamison Ross Spencer, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3319 Issued in ID

Practice address

8119 Ustick Rd
Boise, ID 83704-5754

Phone

(205) 376-3600

Fax

(208) 376-3616

NPI assigned

Jul 19, 2006

Last updated

Dec 27, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jspencer@371cb1e5.micromddirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Center for Sleep Apnea and TMJ PA

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1003969288
  Medicare reassignment NPD
• Orofacial Pain Associates

  • General Practice Dentistry
  • Arvada, CO
  • NPI 1841461761
  NPD (past) Authorized official
• Utah Center for Sleep Apnea & TMJ

  dba The Utah Center for Sleep Apnea & TMJ, LLC

  • Customized Equipment (DME)
  • South Jordan, UT
  • NPI 1326524851

  General Practice

  NPD
• Cadwell Therapuetics, Inc.

  • Customized Equipment (DME)
  • Independence, MO
  • NPI 1821377011
  NPD (past)
• Craniofacial Pain Center of Idaho

  • Durable Medical Equipment & Medical Supplies
  • Anchorage, AK
  • NPI 1902144561
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1285654848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8119 USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045754",
            "telephone_number": "205-376-3600",
            "fax_number": "208-376-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8119 USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045754",
            "telephone_number": "205-376-3600",
            "fax_number": "208-376-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "JAMISON",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trevor Spence, NP-C
• Spencer Rogers DMD PLLC
• Anne Cottrell Spencer, M.S., C.G.C
• Beatriz C.S. Spencer, PA-C
• Carrie Spencer, RPT
• Jane Kelsey Spencer, ACNS
• Jeri K. Spencer, NP
• Stephen E Spencer Sr., MD
• Susan H Spencer, L.M.T
• Heather Spero, PA

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.