Spencer Rice, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D5447 Issued in ID

Practice address

515 E 5TH St N
Burley, ID 83318

Phone

(208) 679-3000

NPI assigned

May 20, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1508504440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E 5TH ST N",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "83318",
            "telephone_number": "208-679-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 5TH ST N",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "83318",
            "telephone_number": "208-679-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 S Bishop Ave",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654014311",
            "country_code": "US",
            "telephone_number": "573-426-5447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "SPENCER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-20",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2022017970",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D5447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R Bret Campbell DO & Assoc LLC
• Jennifer Raae-Nielsen, MD
• Henry Rainbolt III, PA-C
• Dallon Ray, DO
• Ronald C Rice, DDS
• River View Urgent Care & Medical Center Inc
• Maria G. Rivera
• Rnba LLC
• Brittany Roberts, PTA
• Spencer John Robertson, M.D.

• Dentist in Burley, ID
• Providers in Burley, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.