Active NPI
Janet Ann Spicer III
- Dental Hygienist
- West Columbia, TX
National Provider Identifier
1467677641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 5566
- Practice address
- 501 Dance Dr
West Columbia, TX 77486-4019 - Phone
- (979) 345-3621
- NPI assigned
- Apr 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 5566 | TX | Primary |
Addresses
Primary practice location
501 Dance Dr
West Columbia, TX 77486-4019
Mailing address
1434 Oak Island Dr
Lake Jackson, TX 77566-3658
Phone (979) 798-6729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5566 | TX | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467677641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 OAK ISLAND DR",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775663658",
"telephone_number": "979-798-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 DANCE DR",
"city": "WEST COLUMBIA",
"state": "TX",
"postal_code": "774864019",
"telephone_number": "979-345-3621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPICER",
"first_name": "JANET",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TX",
"license": "5566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.