Spot 1, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SPOT 1, LLC

Practice address

1324 E Montclair St
Springfield, MO 65804-4245

Phone

(417) 886-9939

NPI assigned

Jan 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Shayna Bahr

Title

Manager

Phone

(303) 524-4501

Specialties & licenses 2

Addresses

Other names 1

• The Smile Spot Doing business as

Locations

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1457741381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 PIONEER AVE",
            "address_2": "STE 101",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820014406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 E MONTCLAIR ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044245",
            "telephone_number": "417-886-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOT 1, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "BAHR",
        "authorized_official_first_name": "SHAYNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-524-4501",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Spot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christa Spivy, PLPC
• Don D. Sponenberg, MD
• Steven C Sponenberg, D.D.S.
• Barry D Spoon, DO
• Leah Nicole Spoonts, FNP-C
• Spot 2, LLC
• Spring Ridge Residential, LLC
• Springfield Behavioral Hospital, LLC
• Springfield Celebrate Pediatrics LLC
• Springfield Dental Partners LLC

• All providers in Springfield, MO
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.