Individual provider Active NPI

David Hans Spring, DMD

  • General Practice Dentistry
  • Dallas, PA
National Provider Identifier
1679518229
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-024945-L Issued in PA
Practice address
2935 Memorial Hwy
Dallas, PA 18612-1566
Phone
(570) 675-7796
Fax
(570) 674-9031
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-024945-L PA Primary

Addresses

Primary practice location

2935 Memorial Hwy
Dallas, PA 18612-1566

Mailing address

2935 Memorial Hwy
Dallas, PA 18612-1566
Phone (570) 675-7796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210002932 PA Order and Referring Only - DentistPractitioner - Dentist 3971805888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-024945-LPAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1679518229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 MEMORIAL HWY",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121566",
            "telephone_number": "570-675-7796",
            "fax_number": "570-674-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 MEMORIAL HWY",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121566",
            "telephone_number": "570-675-7796",
            "fax_number": "570-674-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRING",
        "first_name": "DAVID",
        "middle_name": "HANS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-024945-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

Verify at the official NPI Registry.