Dr Robert Spatafora DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR ROBERT SPATAFORA DDS

Practice address

2212 Justice St
Monroe, LA 71201-3620

Phone

(318) 325-5764

Fax

(318) 325-7940

NPI assigned

Aug 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Robert E Spatafora, DDSNPI 1952325680

Title

Dentist

Phone

(318) 325-5764

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr Robert E Spatafora, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Eugene Spatafora, DDS

  • General Practice Dentistry
  • Monroe, LA
  • NPI 1952325680
  NPD Authorized official

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1477032084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 JUSTICE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013620",
            "telephone_number": "318-325-5764",
            "fax_number": "318-325-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 JUSTICE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013620",
            "telephone_number": "318-325-5764",
            "fax_number": "318-325-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT SPATAFORA DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "SPATAFORA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "318-325-5764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "3206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29653",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Robert E Spatafora, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Downs
• Felicia Downs
• Derrick Doyle
• Donald Allen Dozier, PHARMACIST
• Dr Elvis Surles a Professional Optometry Corporation
• Dr. Keith Calhoun, a Professional Medical Corporation
• Dr. Michael J. Haynes a Professional Corporation
• Shelia Drake-Quintanilla
• Tarah Taylor Draughn, M.A., LPC, LMFT
• Mary Jessica Dreher, LCSW

• General Practice Dentistry in Monroe, LA
• Providers in Monroe, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.