Active NPI
Spencer David Weed, D.D.S.
- General Practice Dentistry
- Modesto, CA
National Provider Identifier
1619168259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 109591
- Practice address
- 1317 Oakdale Rd Ste 220
Modesto, CA 95355-3362 - Phone
- (209) 526-4299
- Fax
- (209) 526-4399
- NPI assigned
- Aug 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 109591 | CA | Primary |
Addresses
Primary practice location
1317 Oakdale Rd Ste 220
Modesto, CA 95355-3362
Mailing address
1317 Oakdale Rd Ste 220
Modesto, CA 95355-3362
Phone (209) 526-4299
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 |
|---|---|---|---|
| 7344 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer D Weed DDS PLLC | Current | Accepting new patients | |
| Spencer D Weed DDS PLLC | Current | Accepting new patients | |
| Impressions at Casa Grande PLC | Past | Accepting new patients | |
| Arizona Dental Pavillion | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Chandler, AZ
- NPI 1891232120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1619168259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 OAKDALE RD STE 220",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553362",
"telephone_number": "209-526-4299",
"fax_number": "209-526-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 OAKDALE RD STE 220",
"city": "MODESTO",
"state": "CA",
"postal_code": "953553362",
"telephone_number": "209-526-4299",
"fax_number": "209-526-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEED",
"first_name": "SPENCER",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "109591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.