Individual provider Active NPI

Taylor Spier

  • General Practice Dentistry
  • Buffalo, MN
National Provider Identifier
1417648064
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D15137 Issued in MN
Practice address
306 Brighton Ave S
Buffalo, MN 55313-2318
Phone
(763) 682-2572
NPI assigned
May 16, 2023
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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 D15137 MN Primary

Addresses

Primary practice location

306 Brighton Ave S
Buffalo, MN 55313-2318

Mailing address

11219 18TH St NE
Saint Michael, MN 55376-4506

Other practice location 1

1500 Park Ave
Saint Louis, MO 63104-3024
Phone (314) 833-2700

Other practice location 2

206 N Hill Ave
Ogilvie, MN 56358-4501
Phone (320) 272-4450

Other practice location 3

140 2nd St SE
Milaca, MN 56353-1207
Phone (320) 983-2455

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D15137MNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Care Associates of Buffalo PA CurrentSince Aug 11, 2024 Accepting new patients
TS Dental Services LLC CurrentSince Aug 11, 2024 Accepting new patients

Locations

306 Brighton Ave S
Buffalo, MN 55313
Phone (763) 682-2572

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1417648064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 18TH ST NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553764506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BRIGHTON AVE S",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553132318",
            "telephone_number": "763-682-2572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631043024",
            "country_code": "US",
            "telephone_number": "314-833-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 N Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Ogilvie",
            "state": "MN",
            "postal_code": "563584501",
            "country_code": "US",
            "telephone_number": "320-272-4450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 2nd St SE",
            "address_purpose": "LOCATION",
            "city": "Milaca",
            "state": "MN",
            "postal_code": "563531207",
            "country_code": "US",
            "telephone_number": "320-983-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIER",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D15137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.