Individual provider Active NPI

Andrea Spurr, D.D.S.

  • General Practice Dentistry
  • Clearwater, FL
National Provider Identifier
1376703744
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0014225 Issued in FL
Practice address
1831 N Belcher Rd
Suite 1B
Clearwater, FL 33765-1449
Phone
(727) 799-1564
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN0014225 FL Primary

Addresses

Primary practice location

1831 N Belcher Rd
Suite 1B
Clearwater, FL 33765-1449

Mailing address

1831 N Belcher Rd
Suite 1B
Clearwater, FL 33765-1449
Phone (727) 799-1564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20231228002046 FL Order and Referring Only - DentistPractitioner - Dentist 2163748237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN0014225FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony R. Cheslock DDS,PA General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1376703744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD",
            "address_2": "SUITE 1B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651449",
            "telephone_number": "727-799-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 N BELCHER RD",
            "address_2": "SUITE 1B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651449",
            "telephone_number": "727-799-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURR",
        "first_name": "ANDREA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.