Active NPI
Kent James Spurling, D.M.D.
- Dentist
- Mesa, AZ
National Provider Identifier
1366418162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D6969
- Practice address
- 2727 E. McKellips Rd
Suite 101
Mesa, AZ 85213 - Phone
- (480) 612-6352
- Fax
- (480) 893-0596
- NPI assigned
- Feb 23, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D6969 | AZ | Primary |
Addresses
Primary practice location
2727 E. McKellips Rd
Suite 101
Mesa, AZ 85213
Mailing address
2727 E McKellips Rd
Suite 101
Mesa, AZ 85213
Phone (480) 612-6352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170109002345 | AZ | Order and Referring Only - Other (Physician) | 0244511152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6969 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Light Touch Laser and Dental Implant Center, PLLC | 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 and National Provider Directory roles.
-
- General Practice Dentistry
- Mesa, AZ
- NPI 1528514049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711324800000",
"number": "1366418162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 E MCKELLIPS RD",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "85213",
"telephone_number": "480-612-6352",
"fax_number": "480-893-0596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 E. MCKELLIPS RD",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "85213",
"telephone_number": "480-612-6352",
"fax_number": "480-893-0596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPURLING",
"first_name": "KENT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2024-03-25",
"certification_date": "2024-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D6969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.