Individual provider Active NPI

Dennis James Spiro, OD

  • Optometrist
  • Whittier, CA
National Provider Identifier
1487645180
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8863T Issued in CA
Practice address
11311 La Mirada Blvd
Ste B
Whittier, CA 90604-2126
Phone
(562) 946-3311
Fax
(562) 941-3117
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT8863T CA Primary

Addresses

Primary practice location

11311 La Mirada Blvd
Ste B
Whittier, CA 90604-2126

Mailing address

11311 La Mirada Blvd
Ste B
Whittier, CA 90604-2126
Phone (562) 946-3311

Other identifiers 1

IdentifierTypeStateIssuer
GSD001460MedicaidCA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT8863TCAMDOptometrist
8863CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1487645180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 LA MIRADA BLVD",
            "address_2": "STE B",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906042126",
            "telephone_number": "562-946-3311",
            "fax_number": "562-941-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 LA MIRADA BLVD",
            "address_2": "STE B",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906042126",
            "telephone_number": "562-946-3311",
            "fax_number": "562-941-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRO",
        "first_name": "DENNIS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8863T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.