Individual provider Active NPI

Jordan Albrecht Spencer, DDS

  • Dentist
  • Wake Forest, NC
National Provider Identifier
1477449767
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14230 Issued in NC
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14230NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Higgins, Mani & Watson IV DDS PA Past Accepting new patients
George Mani, DDS, PA PastSince Jun 23, 2025 Accepting new patients
Higgins, Mani & Watson VI DDS PA PastSince Jun 23, 2025 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.

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.

Verify at the official NPI Registry.