Individual provider Active NPI

Lee Samuel Spencer, M.D.

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1386887917
Registry record updated Feb 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
P7038 Issued in TX
Practice address
8226 Douglas Ave Ste 805
Dallas, TX 75225
Phone
(214) 937-5884
Fax
(214) 373-3404
NPI assigned
Apr 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X P7038 TX
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X P7038 TX Primary

Addresses

Primary practice location

8226 Douglas Ave Ste 805
Dallas, TX 75225

Mailing address

8226 Douglas Ave Ste 805
Dallas, TX 75225-5930
Phone (214) 345-7355

Other practice location 1

8200 Walnut Hill Ln
Dallas, TX 75231-4426
Phone (214) 345-7355

Other practice location 2

9900 N Central Expy Ste 555
Dallas, TX 75231-0984
Phone (214) 296-9653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549065600000",
    "number": "1386887917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 DOUGLAS AVE STE 805",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255930",
            "telephone_number": "214-345-7355",
            "fax_number": "214-345-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 DOUGLAS AVE STE 805",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75225",
            "telephone_number": "214-937-5884",
            "fax_number": "214-373-3404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Walnut Hill Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314426",
            "country_code": "US",
            "telephone_number": "214-345-7355",
            "fax_number": "214-345-8753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 N Central Expy Ste 555",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752310984",
            "country_code": "US",
            "telephone_number": "214-296-9653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "LEE",
        "middle_name": "SAMUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2019-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "TX",
            "license": "P7038",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P7038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.