Cody Spencer, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40070 Issued in TX

Practice address

502 E Borgfeld Dr Ste 101
San Antonio, TX 78260-1669

Phone

(830) 222-6366

NPI assigned

May 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cspencer60968@direct.utmsa.com

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.

• Csdmd PLLC

  • Dentist
  • San Antonio, TX
  • NPI 1184492639
  NPD Authorized official
• Shaftsbury Dental Center PC

  • Dentist
  • Shaftsbury, VT
  • NPI 1730484213
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1326530882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E BORGFELD DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601669",
            "telephone_number": "830-222-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E BORGFELD DR STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782601669",
            "telephone_number": "830-222-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677 Route 7A",
            "address_purpose": "LOCATION",
            "city": "Shaftsbury",
            "state": "VT",
            "postal_code": "05262",
            "country_code": "US",
            "telephone_number": "802-442-7300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8210 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293923",
            "country_code": "US",
            "telephone_number": "210-450-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12914788",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "7210",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "40070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Spence, M.D.
• Kyle Spence, IOM
• Lawrence R Spence, M.D.
• Tyshanae Lacoe Spence
• Carolyn Ivy Spencer, LPC
• Ebonee N Spencer
• James Merle Spencer, CRNA
• Jamie Raye Spencer, RN
• Karen Sue Spencer, FNP-BC
• Robin Spencer, ROBIN

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.