Spencer Powlette, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12014395A Issued in IN

Practice address

249 W Tournament TRL
Westfield, IN 46074-6223

Phone

(463) 622-2060

NPI assigned

May 20, 2024

Sex

Male

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dental Professionals of Indiana, P.C.

  • General Practice Dentistry
  • Westfield, IN
  • NPI 1487497467
  NPD

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1508605767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 W TOURNAMENT TRL",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460746223",
            "telephone_number": "463-622-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W TOURNAMENT TRL",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460746223",
            "telephone_number": "463-622-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWLETTE",
        "first_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12014395A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armando Jr Ponce
• Lori Pope
• Heather Portwood, COTA
• Dana Pottschmidt
• Terri Templin Powell, NP
• Amy Pratt, SLP
• Kristin Nicole Predajna, FNP-C
• Premier Billing Services
• Rhodexzon Presas
• Stacey Price, PHARMD

• General Practice Dentistry in Westfield, IN
• Providers in Westfield, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.