Active NPI
Spencer W Crook, DMD MS
- Endodontics
- Peoria, AZ
National Provider Identifier
1437124278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D5915
- 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, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| D5915 | AZ | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Endodontics
- Peoria, AZ
- NPI 1629289491
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.