Penny E Spaulding, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

3952 Issued in AR

Practice address

605 N 2ND St
Blytheville, AR 72315-2034

Phone

(870) 532-6002

Fax

(870) 532-6008

NPI assigned

Jul 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: penny.mcfarland@eastarkan.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• East Arkansas Family Health Center Inc

  • Dental Clinic/Center
  • Blytheville, AR
  • NPI 1487935359
  NPD (past)
• East Arkansas Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • West Memphis, AR
  • NPI 1033997275
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1508207283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N 7TH ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012001",
            "telephone_number": "870-733-6388",
            "fax_number": "870-532-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N 2ND ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723152034",
            "telephone_number": "870-532-6002",
            "fax_number": "870-532-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAULDING",
        "first_name": "PENNY",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AR",
            "license": "3952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS LICENSE",
            "identifier": "3952",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brieanna Smithey, MHPP
• Rebecca M Smothers, PTA
• Christine Banas Soriano
• Lashanna R Span
• Felix Lorenzo Spates, MHPP
• Alandrus Spencer, MHPP
• Kimberly Lovell Spiller
• Spine Institute PA
• State of Arkansas
• Steelworks Health, LLC

• All providers in Blytheville, AR
• Dentist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.