Active NPI
Jordan Albrecht Spencer, DDS
- Dentist
- Wake Forest, NC
National Provider Identifier
1477449767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14230
- Practice address
- 1900 S Main St Ste 206
Wake Forest, NC 27587-5028 - Phone
- (919) 562-7008
- NPI assigned
- Jun 16, 2025
- Last updated
- Jun 16, 2025
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 14230 | NC | Primary |
Addresses
Primary practice location
1900 S Main St Ste 206
Wake Forest, NC 27587-5028
Mailing address
PO Box 12556
Wilmington, NC 28405-0120
Other practice location 1
545 Venture Dr
Smithfield, NC 27577-4779
Phone (919) 938-0525
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 |
|---|---|---|---|
| 14230 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Higgins, Mani & Watson IV DDS PA | Past | Accepting new patients | |
| George Mani, DDS, PA | Past | Accepting new patients | |
| Higgins, Mani & Watson VI DDS PA | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wake Forest Family Dentistry
- General Practice Dentistry
- Wake Forest, NC
- NPI 1336367184
-
- General Practice Dentistry
- Smithfield, NC
- NPI 1316023443
-
- General Practice Dentistry
- Wake Forest, NC
- NPI 1942509534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1477449767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12556",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284050120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 S MAIN ST STE 206",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275875028",
"telephone_number": "919-562-7008"
}
],
"practiceLocations": [
{
"address_1": "545 Venture Dr",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "NC",
"postal_code": "275774779",
"country_code": "US",
"telephone_number": "919-938-0525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "JORDAN",
"middle_name": "ALBRECHT",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-16",
"last_updated": "2025-06-16",
"certification_date": "2025-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "14230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.