Active NPI
Heather Whitt Spradlin, DMD
- General Practice Dentistry
- Grethel, KY
National Provider Identifier
1457515520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8655
- Practice address
- 7629 Ky RT 979
Grethel, KY 41631-6304 - Phone
- (606) 587-2800
- Fax
- (606) 587-2203
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8655 | KY | Primary |
Addresses
Primary practice location
7629 Ky RT 979
Grethel, KY 41631-6304
Mailing address
1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653-9097
Phone (606) 886-8546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160616002598 | KY | Order and Referring Only - Dentist | 3971894221 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8655 | KY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Sandy Health Care Inc | 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 and National Provider Directory roles.
-
dba Eula Hall Health Center
- Federally Qualified Health Center (FQHC)
- Grethel, KY
- NPI 1154367191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470182400000",
"number": "1457515520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 KY ROUTE 321",
"address_2": "STE 3",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416539097",
"telephone_number": "606-886-8546",
"fax_number": "606-886-8548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7629 KY RT 979",
"city": "GRETHEL",
"state": "KY",
"postal_code": "416316304",
"telephone_number": "606-587-2800",
"fax_number": "606-587-2203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITT SPRADLIN",
"first_name": "HEATHER",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2016-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "8655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grethel, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.