Individual provider Active NPI

Spencer John Tasker, D.M.D.

  • Pediatric Dentistry
  • Albuquerque, NM
National Provider Identifier
1629149851
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D2829 Issued in NM
Practice address
8201 Golf Course Rd NW
Ste C-3
Albuquerque, NM 87120-5842
Phone
(505) 892-9010
NPI assigned
Nov 10, 2006
Last updated
Jul 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D2829 NM Primary

Addresses

Primary practice location

8201 Golf Course Rd NW
Ste C-3
Albuquerque, NM 87120-5842

Mailing address

7224 Via Contenta NE
Albuquerque, NM 87113-1343

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

LicenseStateTypeSpecialty
D2829NMMDPediatric Dentist

Interoperability endpoints

  • Direct secure messaging: stasker33360@ahs.direct-ci.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1629149851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7224 VIA CONTENTA NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 GOLF COURSE RD NW",
            "address_2": "STE C-3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871205842",
            "telephone_number": "505-892-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASKER",
        "first_name": "SPENCER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NM",
            "license": "D2829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.