Cassandra J Spitzley, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D10977 Issued in MN

Practice address

14213 Golf Course Dr
Suite 100
Baxter, MN 56425

Phone

(218) 829-4511

Fax

(218) 829-5483

NPI assigned

Aug 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lakes Dental Care PLC

  • General Practice Dentistry
  • Baxter, MN
  • NPI 1609889302
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366455065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14213 GOLF COURSE DR",
            "address_2": "SUITE 100",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425",
            "telephone_number": "218-829-4511",
            "fax_number": "218-829-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14213 GOLF COURSE DR",
            "address_2": "SUITE 100",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "56425",
            "telephone_number": "218-829-4511",
            "fax_number": "218-829-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZLEY",
        "first_name": "CASSANDRA",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D10977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Evangeline Sobania, RPH
• Rhapsody Soderberg
• Heather Bell Solem, MD
• Lindsey R Southwick, PHARM.D
• Leah Spencer
• Tarna L Squires, APRN,CNP
• St Joseph's Medical Center (Essentia Health-St Joseph's Baxter Clinic)
• St Joseph's Medical Center (Essentia Health St. Joseph's-Orthopedic Center)
• Sara Louise Stainbrook, MA
• Michele La Rae Stanek

• General Practice Dentistry in Baxter, MN
• Providers in Baxter, MN by specialty
• General Practice Dentistry in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.