Individual provider Active NPI

Dennis Dee Spencer, MD

  • Neurological Surgery Physician
  • New Haven, CT
National Provider Identifier
1316928211
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
017056 Issued in CT
Practice address
800 Howard Ave
Yale Physicians' Building, Lower Level
New Haven, CT 06519-1369
Phone
(203) 785-4891
Fax
(203) 785-2043
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 017056 CT Primary

Addresses

Primary practice location

800 Howard Ave
Yale Physicians' Building, Lower Level
New Haven, CT 06519-1369

Mailing address

800 Howard Ave
Yale Physicians' Building, 3Rd FL
New Haven, CT 06519-1369
Phone (203) 785-4891

Other identifiers 1

IdentifierTypeStateIssuer
001170562MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017056CTMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Neurological Surgery CurrentSince May 22, 1989 Accepting new patients
Yale University CurrentSince May 22, 1989 Accepting new patients

Locations

800 Howard Ave
Bldg 3RD
New Haven, CT 06519
Phone (203) 785-2705

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
Lowr
New Haven, CT 06519
Phone (203) 737-2096

Interoperability endpoints

  • Direct secure messaging: dspencer8329@direct.ynhh.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1316928211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE",
            "address_2": "YALE PHYSICIANS' BUILDING, 3RD FL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191369",
            "telephone_number": "203-785-4891",
            "fax_number": "203-785-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOWARD AVE",
            "address_2": "YALE PHYSICIANS' BUILDING, LOWER LEVEL",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191369",
            "telephone_number": "203-785-4891",
            "fax_number": "203-785-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DENNIS",
        "middle_name": "DEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CT",
            "license": "017056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001170562",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.