Active NPI
Dennis Dee Spencer, MD
- Neurological Surgery Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 017056
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001170562 | Medicaid | CT |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017056 | CT | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Neurological Surgery | Current | Accepting new patients |
| Yale University | Current | 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
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.