Active NPI
Anna Spencer, DDS
- Dentist
- Saginaw, TX
National Provider Identifier
1578056016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 34090
- Practice address
- 608 E Bailey Boswell Rd Ste 100
Saginaw, TX 76131 - Phone
- (817) 234-9378
- NPI assigned
- Jun 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 34090 | TX | Primary |
Addresses
Primary practice location
608 E Bailey Boswell Rd Ste 100
Saginaw, TX 76131
Mailing address
1020 Switchyard St Apt 224
Fort Worth, TX 76107-2260
Phone (817) 675-8684
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34090 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly West, DDS Cosmetic & Family Denitstry, PC | Past | Accepting new patients | |
| Stetler & Stampe Dental Partnership | Past | Accepting new patients |
Organizations & group practices 2
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 Clinic/Center
- Saginaw, TX
- NPI 1306178249
-
- General Practice Dentistry
- Wylie, TX
- NPI 1326153321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1578056016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 SWITCHYARD ST APT 224",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072260",
"telephone_number": "817-675-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 E BAILEY BOSWELL RD STE 100",
"city": "SAGINAW",
"state": "TX",
"postal_code": "76131",
"telephone_number": "817-234-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-10",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "34090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.