Frederick L Spradley, D.D.S. AND M.S.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

11859 Issued in TX

Practice address

4763 Barwick Dr
Suite 107
Fort Worth, TX 76132-1500

Phone

(817) 294-5021

Fax

(817) 294-9310

NPI assigned

Mar 13, 2017

Last updated

Mar 13, 2017By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Fred L. Spradley, D.D.S., M.S.D., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Worth, TX
  • NPI 1003938333
  NPD (past)

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1538600382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4763 BARWICK DR",
            "address_2": "SUITE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321500",
            "telephone_number": "817-294-5021",
            "fax_number": "817-294-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4763 BARWICK DR",
            "address_2": "SUITE 107",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321500",
            "telephone_number": "817-294-5021",
            "fax_number": "817-294-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLEY",
        "first_name": "FREDERICK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S. AND M.S.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "11859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shenan Spraberry, LPC, PH.D
• Larry Wilson Spradley, D.D.S., M.S.
• Lauren Nicole Spradling, LPC-A
• Spring Hills Home Health LLC
• Spring Hills Internal Medicine, PA
• Beatriz Springer, DDS

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.