Individual provider Active NPI

Spencer W Crook, DMD MS

  • Endodontics
  • Peoria, AZ
National Provider Identifier
1437124278
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
D5915 Issued in AZ
Practice address
7972 W Thunderbird Rd
Suite #103
Peoria, AZ 85381-4903
Phone
(623) 979-1313
NPI assigned
Feb 22, 2006
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X D5915 AZ Primary

Addresses

Primary practice location

7972 W Thunderbird Rd
Suite #103
Peoria, AZ 85381-4903

Mailing address

12320 N 32ND St
Suite 2
Phoenix, AZ 85032-7154
Phone (623) 748-1345

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
D5915AZMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Endodontics Endodontics Past Accepting new patients

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, 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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1437124278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 N 32ND ST",
            "address_2": "SUITE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327154",
            "telephone_number": "623-748-1345",
            "fax_number": "623-505-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7972 W THUNDERBIRD RD",
            "address_2": "SUITE #103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814903",
            "telephone_number": "623-979-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOK",
        "first_name": "SPENCER",
        "middle_name": "W",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AZ",
            "license": "D5915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.