Jeffery C. Spathas, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6432 Issued in OR

Practice address

4901 NE Glisan St
Portland, OR 97213-2935

Phone

(503) 231-1644

NPI assigned

May 23, 2005

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 OR

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.

• Deepti Gupta-Johnson, DMD LLC

  dba Daydream Dental

  • Dentist
  • Portland, OR
  • NPI 1215755434
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306849393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132935",
            "telephone_number": "503-231-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 NE GLISAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132935",
            "telephone_number": "503-231-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATHAS",
        "first_name": "JEFFERY",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Dixie Sparling
• Tim Sparrow
• Casey Spartz, B.S.
• Milena Spasojevic, MS, MA
• Angelica Spata
• Aaron William Spaugy, D.O.
• Carly Jun Spaulding, BSW
• Elsa Christina Spaulding
• Juliet Marie Spaulding, EFDA
• Jean Mary Spaziani, RN, MN, PMHNP

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.