Active NPI
Laine Anne Spadola, D.D.S.
- General Practice Dentistry
- Monticello, NY
National Provider Identifier
1295090348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56702-1
- Practice address
- 606 Old Route 17
Discovery Health Center
Monticello, NY 12701 - Phone
- (845) 707-8400
- Fax
- (845) 707-8916
- NPI assigned
- Jul 5, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 56702-1 | NY | Primary |
Addresses
Primary practice location
606 Old Route 17
Discovery Health Center
Monticello, NY 12701
Mailing address
PO Box 840
Harris, NY 12742
Phone (845) 707-8400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56702-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Discovery Inc | Current | Accepting new patients | |
| The Center for Discovery Inc | Current | Accepting new patients |
Locations
606 Old Route 17
Monticello, NY 12701
Phone (845) 707-8400
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.
-
- Rural Health Clinic/Center
- Monticello, NY
- NPI 1275624694
-
- Intellectual Disabilities Intermediate Care Facility
- Rock Hill, NY
- NPI 1669202610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1295090348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840",
"city": "HARRIS",
"state": "NY",
"postal_code": "12742",
"telephone_number": "845-707-8400",
"fax_number": "845-707-8916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 OLD ROUTE 17",
"address_2": "DISCOVERY HEALTH CENTER",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "12701",
"telephone_number": "845-707-8400",
"fax_number": "845-707-8916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPADOLA",
"first_name": "LAINE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "56702-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.