Kristina Anne Spaulding, LD

Primary specialty

DenturistTaxonomy code 122400000X

License

DTR5537 Issued in ME

Practice address

753 Stillwater Ave
Bangor, ME 04401-3633

Phone

(207) 573-4242

Fax

(207) 573-4233

NPI assigned

May 5, 2022

Last updated

May 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bangor Denture

  • Denturist
  • Bangor, ME
  • NPI 1821709353
  NPD Authorized official

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1487390225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NICHOLS ST",
            "city": "PITTSFIELD",
            "state": "ME",
            "postal_code": "049674511",
            "telephone_number": "207-307-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013633",
            "telephone_number": "207-573-4242",
            "fax_number": "207-573-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "KRISTINA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "ME",
            "license": "DTR5537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Spain, LCSW
• Angela Maria Sparks, COTA
• Kristen Lynn Sparks, MD
• Sheryl Sparlin, FNP-C
• Kristie L Spaulding, CFNP
• Gabriel Spear
• Mark A Spear, M.D.
• Spectrum Healthcare Partners, P.a (Penobscot Surgical Care)
• Spectrum Healthcare Partners, P.a.
• Spectrum Healthcare Partners, PA (Spectrum Radiology North)

• Denturist in Bangor, ME
• Providers in Bangor, ME by specialty
• Denturist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.