Organization Active NPI

J. Don Spillers, Jr., DMD, Ms, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Warner Robins, GA
National Provider Identifier
1528289154
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
011023 Issued in GA
Legal business name
J. DON SPILLERS, JR., DMD, MS, PC
Practice address
400 Spillers Way
Warner Robins, GA 31088-0512
Phone
(478) 953-2700
Fax
(478) 953-2710
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jerry Don Spillers Jr., DMD, MS
Title
Owner
Phone
(478) 953-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 011023 GA Primary

Addresses

Primary practice location

400 Spillers Way
Warner Robins, GA 31088-0512

Mailing address

400 Spillers Way
Warner Robins, GA 31088-0512
Phone (478) 953-2700

National Provider Directory

National Provider Directory

Locations

400 Spillers Way
Warner Robins, GA 31088
Phone (478) 953-2700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528289154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SPILLERS WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880512",
            "telephone_number": "478-953-2700",
            "fax_number": "478-953-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SPILLERS WAY",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880512",
            "telephone_number": "478-953-2700",
            "fax_number": "478-953-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. DON SPILLERS, JR., DMD, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPILLERS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-953-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "GA",
            "license": "011023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.