Thomas M Spoonster, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30.023982 Issued in OH

Practice address

1239 NE Medical Center Dr Ste 220
Bend, OR 97701-7359

Phone

(541) 200-7798

NPI assigned

Jan 6, 2014

Last updated

Jul 7, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eastside Bend Smiles, LLC

  dba Dental Artistry Implants Crowns Veneers

  • General Practice Dentistry
  • Bend, OR
  • NPI 1477470052
  NPD (past) Authorized official
• Westside Bend Smiles, LLC

  dba Dental Artistry Implants Crowns Veneers

  • General Practice Dentistry
  • Bend, OR
  • NPI 1003733684
  Authorized official Same address or phone

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1669894994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 NE MEDICAL CENTER DR STE 220",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017359",
            "telephone_number": "541-200-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 NE MEDICAL CENTER DR STE 220",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017359",
            "telephone_number": "541-200-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOONSTER",
        "first_name": "THOMAS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-06",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "RES.3325",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.023982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Spencer, LPC, CADCII
• Mark K Spencer, PA
• Robyn Spencer
• Mary K Sperduto
• Michelle J Spetic, RN
• Joshua Sprague
• Jeremiah Glen Spray
• Nicole Spreadborough
• Spring River Psychological Services, LLC
• Diana Spring, DPT

• Dentist in Bend, OR
• Providers in Bend, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.