NPIMap

Organization Active NPI

Jan L. Spagnoli DDS PA

  • Dentist
  • Titusville, FL
National Provider Identifier
1295280444
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10166 Issued in FL
Legal business name
JAN L. SPAGNOLI DDS PA
Practice address
55 N Carpenter Rd
Titusville, FL 32796-2204
Phone
(321) 269-3802
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Dr. Jan L. Spagnoli, DDSNPI 1558378380
Title
Dentist
Phone
(321) 269-3802

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN10166 FL Primary

Addresses

Primary practice location

55 N Carpenter Rd
Titusville, FL 32796-2204

Mailing address

55 N Carpenter Rd
Titusville, FL 32796-2204
Phone (321) 269-3802

National Provider Directory

National Provider Directory

Locations

55 N Carpenter Rd
Titusville, FL 32796
Phone (321) 269-3802

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1295280444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N CARPENTER RD",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962204",
            "telephone_number": "321-269-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N CARPENTER RD",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962204",
            "telephone_number": "321-269-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN L. SPAGNOLI DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "SPAGNOLI",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "321-269-3802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

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