Spencer Wesley Mullenaux

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2020014068 Issued in MO

Practice address

12414 S US Highway 71
Grandview, MO 64030-1733

Phone

(816) 307-7000

NPI assigned

Apr 10, 2018

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not 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.

• Celebraces Truman Corners Ferguson LLC

  • Dental Clinic/Center
  • Grandview, MO
  • NPI 1205541281
  NPD
• Valudental Truman Corners Russell LLC

  dba Celebrate Dental & Braces Grandview

  • General Practice Dentistry
  • Grandview, MO
  • NPI 1952942880

  Single Specialty

  NPD

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1528565256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 EVE ORCHID DR",
            "city": "GREENWOOD",
            "state": "MO",
            "postal_code": "640347802",
            "telephone_number": "928-651-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 S US HIGHWAY 71",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640301733",
            "telephone_number": "816-307-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENAUX",
        "first_name": "SPENCER",
        "middle_name": "WESLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2020014068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moore Truss and Support Care LLC.
• Thomas E Moore, D.D.S.
• Paul Xavier Morrison, PTA
• Erika Leigh Mueller, DPT
• Atif Muhammad
• Washington S Muro, M.D.
• Ashley Dawn Murphy, FNP-BC
• Mahmuda Nasrin
• National Vision Inc (America's Best Contacts & Eyeglasses)
• Natural Birth KC, LLC (Natural Birth KC)

• Pediatric Dentistry in Grandview, MO
• Providers in Grandview, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.