Earl Taylor Spader, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN21881 Issued in FL

Practice address

1331 N Swan Rd
Tucson, AZ 85712-4040

Phone

(520) 326-5442

Fax

(520) 326-8026

NPI assigned

May 20, 2016

Sex

Male

Sole proprietor

Yes

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 AZ

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

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.

• Tucson Dental Studio, PLLC

  • Dentist
  • Tucson, AZ
  • NPI 1205498938
  NPD (past) Authorized official

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1306293204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124040",
            "telephone_number": "386-449-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124040",
            "telephone_number": "520-326-5442",
            "fax_number": "520-326-8026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADER",
        "first_name": "EARL",
        "middle_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shohei Sowid-Shima
• Victoria O Soyannwo
• Anthony F Soza
• Spa City Iup, LLC
• Spa Daze
• Brianne Mae Spaeth
• Paul Vincent Spaeth, D.D.S.
• Daniel W Spaite, MD
• David G. Spalding, D.D.S.
• Maria Spangler, LAC

• Dentist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.