Jennifer Spivey, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

922 Issued in AK

Practice address

506 W Marine Way
Kodiak, AK 99615-7318

Phone

(907) 486-3269

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Carrie Randolph D.D.S. Inc.

  • Dentist
  • Kodiak, AK
  • NPI 1588113187
  NPD (past)
• James R. Arneson, DDS,Inc

  • General Practice Dentistry
  • Kodiak, AK
  • NPI 1750728747
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437243326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3494",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996153494",
            "telephone_number": "907-486-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 W MARINE WAY",
            "city": "KODIAK",
            "state": "AK",
            "postal_code": "996157318",
            "telephone_number": "907-486-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "JENNIFER",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40281",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI",
            "identifier": "874078",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisa Gayle Solesbee, RN
• Solstice Wellness
• Darsha Jean Spalinger, RN
• Isaac Paul Spencer, DPT
• Amanda Ashe Lee Spiegel
• Judith K Spoerer
• Denise Burton Stanley, MSW, LCSW
• Alison Starr, PA-C
• Michelle Marie Steiner, LMT
• Anna Leone Stevens, PSYD

• General Practice Dentistry in Kodiak, AK
• Providers in Kodiak, AK by specialty
• General Practice Dentistry in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.