Marylouis Nakhleh Spencer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46898 Issued in CA

Practice address

1750 E Palomar St
Suite,3
Chula Vista, CA 91913-3731

Phone

(619) 216-8668

Fax

(619) 216-8638

NPI assigned

Apr 18, 2007

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346466984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E PALOMAR ST",
            "address_2": "SUITE,3",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133731",
            "telephone_number": "619-216-8668",
            "fax_number": "619-216-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E PALOMAR ST",
            "address_2": "SUITE,3",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919133731",
            "telephone_number": "619-216-8668",
            "fax_number": "619-216-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "MARYLOUIS",
        "middle_name": "NAKHLEH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minju Sparks, NP-C
• Todd Sparks, DPT
• Speech Tree Therapy Center
• Noah Spence
• Khalara Spencer
• Taylor Christine Spencer
• Spicy Family Counseling Center Inc.
• Amanda Spina, R.D.
• Spinezone Medical Fitness, Inc.
• Blake Francis Spitzer, MD

• General Practice Dentistry in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.