Dale Spencer, DDS,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4954 Issued in NC

Practice address

1170 Fairgrove Church Rd
Hickory, NC 28602-9695

Phone

(828) 328-6118

Fax

(828) 328-1657

NPI assigned

Nov 19, 2013

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 NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1437589942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029695",
            "telephone_number": "828-328-6118",
            "fax_number": "828-328-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029695",
            "telephone_number": "828-328-6118",
            "fax_number": "828-328-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "DALE",
        "credential": "DDS,PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Anne Spears, LCSW
• Margaret M Spears, FNP
• Freida Speer, LPA, LPC
• Airiel Hewitt Spencer, DNP, FNP-C
• Carla D Spencer, RDN LD
• Heather Spencer, AGACNP, FNP
• Melonae Spencer, CADCI
• Terry Lee Spencer, LCSW
• Hermann Curt Spiegel, CRNA
• Spirit Song, LLC

• General Practice Dentistry in Hickory, NC
• Providers in Hickory, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.