Irene Spates DMD LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

IRENE SPATES DMD LLC

Doing business as

Sparkling Charms Dental Studio

Practice address

887 E Fort Ave
Baltimore, MD 21230-5117

Phone

(443) 269-8899

NPI assigned

Sep 26, 2023

Last updated

Nov 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irene Spates, DMDNPI 1770071334

Title

Pediatric Dentist

Phone

(443) 681-6455

Specialties & licenses 1

Addresses

Other names 1

• Sparkling Charms Dental Studio Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Irene Spates, DMD

  • Pediatric Dentistry
  • Baltimore, MD
  • NPI 1770071334
  NPD Authorized official

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700697600000",
    "number": "1437938644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 E FORT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305117",
            "telephone_number": "443-681-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 E FORT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305117",
            "telephone_number": "443-269-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE SPATES DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-11-23",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "SPATES",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "443-681-6455",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparkling Charms Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sparkling Charms Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sha'Taiya Irby
• Cortney Ashley Ireland, LCPC
• William Stone Ireland, PHARM D
• Zeenee Ashanti Ireland
• Irene F Ibarra, MD, PA
• Brenda Iriele
• Emily Irish, CRNA
• Sebastian Cesar Irizarry
• Valerie Ironside, C.R.N.P.
• Alia Irshad, M.D.

• Pediatric Dentistry in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2023; 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.