Active NPI
Kevin R. Spees, DDS
- General Practice Dentistry
- Zionsville, IN
National Provider Identifier
1417098724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12009149A
- Practice address
- 1235 Parkway Dr
Zionsville, IN 46077-1953 - Phone
- (317) 873-2206
- Fax
- (317) 873-3255
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12009149A | IN | Primary |
Addresses
Primary practice location
1235 Parkway Dr
Zionsville, IN 46077-1953
Mailing address
1235 Parkway Dr
Zionsville, IN 46077-1953
Phone (317) 873-2206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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 |
|---|---|---|---|---|
| I20150605001771 | IN | Order and Referring Only - Oral Surgery | 4688995343 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009149A | IN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417098724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 PARKWAY DR",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460771953",
"telephone_number": "317-873-2206",
"fax_number": "317-873-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 PARKWAY DR",
"city": "ZIONSVILLE",
"state": "IN",
"postal_code": "460771953",
"telephone_number": "317-873-2206",
"fax_number": "317-873-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEES",
"first_name": "KEVIN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12009149A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zionsville, IN
- Sons and Daughters Recovery LLC
- Amy K Sorrells
- Sound Management Inc. (Sound Hearing care)
- Special Smiles Pediatric Dentistry
- Speech Concepts, Inc.
- Maurice Spells
- Daniel Thomas Spitler II, DC
- St. Vincent Children's Hospital
- St. Vincent Health Wellness and Preventive Care Institute, Inc.
- St. Vincent Hospital
Sources for this page
- 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.