Mark Angelo Spinazze, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2596 Issued in OH

Practice address

10 N Ridge Ave
Mount Prospect, IL 60056-2428

Phone

(847) 255-7080

NPI assigned

Oct 22, 2007

Sex

Male

Sole proprietor

Yes

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 IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Maxillofacial Surgery

Education

University of Cincinnati College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates for Oral Maxillofacial and Implant Surgery LTDGroup PAC ID 2365425469, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Associates for Oral Maxillofacial and Implant Surgery LTD

  • Oral and Maxillofacial Surgery (Dentist)
  • Mt Prospect, IL
  • NPI 1114911872
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1417146838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N RIDGE AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562428",
            "telephone_number": "847-255-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N RIDGE AVE",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600562428",
            "telephone_number": "847-255-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINAZZE",
        "first_name": "MARK",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "2596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sorvein Prieto,M.D
• Shelby Soumar, MSBP - BCBA
• Victoria Sous, LAC
• Specialty Medical Services
• Dennis J Spinazze, DDS
• Russell P Spinazze, DDS
• Lisa Marie Sporer, LCSW
• Sports Medical Services, S.C.
• Stephen M Sproul, MD
• Stanvee Corp

• Oral and Maxillofacial Surgery (Dentist) in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.