Spencer Bjarnason, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

27220 Issued in TX

Practice address

3622 Williams Dr Ste 3
Georgetown, TX 78628-2508

Phone

(512) 948-7624

Fax

(512) 948-7627

NPI assigned

Jul 20, 2011

Last updated

Jul 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bjarnason Endodontics PLLC

  dba Oakwood Endodontics

  • Endodontics
  • Georgetown, TX
  • NPI 1760177869
  NPD Authorized official
• Bjarnason Endodontics PLLC

  dba San Gabriel Oral and Maxillofacial Surgery Associates

  • Oral and Maxillofacial Surgery (Dentist)
  • Georgetown, TX
  • NPI 1942482807
  NPD
• Benson J. Ybanez DDS and Associates PA

  dba DentalWorks

  • General Practice Dentistry
  • Jacksonville, NC
  • NPI 1275503765
  NPD (past)

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1669760823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 WILLIAMS DR STE 3",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282508",
            "telephone_number": "512-948-7624",
            "fax_number": "512-948-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 WILLIAMS DR STE 3",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282508",
            "telephone_number": "512-948-7624",
            "fax_number": "512-948-7627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Office Park Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285463217",
            "country_code": "US",
            "telephone_number": "910-347-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BJARNASON",
        "first_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27220",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "10509",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "27220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birkmann Optical LLC (Pearle Vision)
• Mark G. Birkmann, O.D.
• Brooke Howell Bishop, LCSW
• Bjarnason Endodontics PLLC (Oakwood Endodontics)
• Bjarnason Endodontics PLLC (San Gabriel Oral and Maxillofacial Surgery Associates)
• Jennifer Black, LMFT
• Melanie Black, CRNA
• Blackbird Enterprises, LLC (Allegiance Ambulance)
• Erika Blair, M.A., LPC, RPT
• Deborah L Bland, LCSW

• Endodontics in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.