George Jooseph Spader, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13955 Issued in MI

Practice address

7437 Jackman Rd
Temperance, MI 48182-9223

Phone

(734) 847-1780

Fax

(734) 847-2080

NPI assigned

May 5, 2006

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

Enrolled in MI

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.

Enrollment records 1

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.

• George J. Spader, DDS, PC

  • Dental Clinic/Center
  • Temperance, MI
  • NPI 1063046308
  NPD Authorized official
• Great Lakes Dental Ventures PLLC

  • General Practice Dentistry
  • Temperance, MI
  • NPI 1801754536
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1548218977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7437 JACKMAN RD",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829223",
            "telephone_number": "734-847-1780",
            "fax_number": "734-847-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7437 JACKMAN RD",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829223",
            "telephone_number": "734-847-1780",
            "fax_number": "734-847-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADER",
        "first_name": "GEORGE",
        "middle_name": "JOOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "13955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Codie L Seymour, PHARMD, RPH
• Kaye Cecelia Shepherd
• Phillip Maurice Sherman, LMSW
• Tiffany Hope Simmons, MSN, RN
• Joanne Marie Smith, COTA
• Kristen Spencer
• Spenser J. Brittain, O.D. PLLC
• Heidi Lynn Steenrod, RN, CFNC
• Mitchell Steils, LMSW
• Whitney Steyer, O.T.

• Dentist in Temperance, MI
• Providers in Temperance, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.