David Reid Spivey, DMD – Dentist in Lafayette, AL

Key facts

NPI: 1376864033
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: 5763 (AL)
Practice address: 134 1St St SE
Lafayette, AL 36862-2304
Phone: (334) 864-8808
Fax: (334) 864-8840
NPI assigned: Jun 17, 2010
Sex: Male
Sole proprietor: No

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.

Donald H Busby DMD PC General Practice Dentistry · Lafayette, AL · NPI 1275640633

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
5763	AL	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Donald H Busby DMD PC		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Dentist	122300000X	5763	AL	Yes

Addresses

Primary practice location

134 1St St SE
Lafayette, AL 36862-2304

Mailing address

134 1St St SE
Lafayette, AL 36862-2304
Phone (334) 864-8808

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 17, 2010.

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1376864033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 1ST ST SE",
            "city": "LAFAYETTE",
            "state": "AL",
            "postal_code": "368622304",
            "telephone_number": "334-864-8808",
            "fax_number": "334-864-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 1ST ST SE",
            "city": "LAFAYETTE",
            "state": "AL",
            "postal_code": "368622304",
            "telephone_number": "334-864-8808",
            "fax_number": "334-864-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "DAVID",
        "middle_name": "REID",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, AL

All providers in Lafayette, AL · Dentist in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.