Martina Spelter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

100182115 Issued in WI

Practice address

535 E Division St
Fond Du Lac, WI 54935-3735

Phone

(920) 921-8950

NPI assigned

Jun 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Martina Sieker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1639661895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 SIEKER LN",
            "city": "GREENLEAF",
            "state": "WI",
            "postal_code": "541269254",
            "telephone_number": "920-864-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E DIVISION ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353735",
            "telephone_number": "920-921-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELTER",
        "first_name": "MARTINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1001821-15",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "100182115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTINA",
            "last_name": "SIEKER",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashvin R Sood, MD
• Patrick Louis Sorensen, RN
• Julie Sowinski
• Samantha Spannbauer
• Alexandra Dare Spellman, RN
• Sarah Sperl, SLP
• Grace C Sphatt
• Samual Richard Spranger
• Jeannette Sroka, RN
• St. Francis Home of Fond Du Lac Wisconsin, Inc

• Dentist in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.