Active NPI
Clara M. Spatafore, D.D.S.
- Endodontics
- Sewickley, PA
National Provider Identifier
1326137597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS023991L
- Practice address
- 2593 Wexford Bayne Rd
Ste 304
Sewickley, PA 15143-8608 - Phone
- (724) 940-3963
- Fax
- (724) 940-3965
- NPI assigned
- Oct 12, 2006
- Last updated
- Oct 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS023991L | PA | Primary |
Addresses
Primary practice location
2593 Wexford Bayne Rd
Ste 304
Sewickley, PA 15143-8608
Mailing address
2593 Wexford Bayne Rd
Ste 304
Sewickley, PA 15143-8608
Phone (724) 940-3963
Other names 1
- Dr. Clara M. Spatafore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS023991L | PA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Endodontics North | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Endodontics
- Sewickley, PA
- NPI 1023428679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288310400000",
"number": "1326137597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2593 WEXFORD BAYNE RD",
"address_2": "STE 304",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151438608",
"telephone_number": "724-940-3963",
"fax_number": "724-940-3965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2593 WEXFORD BAYNE RD",
"address_2": "STE 304",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151438608",
"telephone_number": "724-940-3963",
"fax_number": "724-940-3965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPATAFORE",
"first_name": "CLARA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2010-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "PA",
"license": "DS023991L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CLARA",
"last_name": "SPATAFORE",
"middle_name": "M.",
"prefix": "DR.",
"credential": "D.D.S., MS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Sewickley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.