Individual provider Active NPI

Gregory Allen Spielmann, D.D.S

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1679756175
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5963 Issued in OK
Practice address
4400 NW 63Rd Street
Oklahoma City, OK 73116-1509
Phone
(405) 848-7780
Fax
(405) 730-0399
NPI assigned
Dec 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 5963 OK Primary

Addresses

Primary practice location

4400 NW 63Rd Street
Oklahoma City, OK 73116-1509

Mailing address

4400 NW 63Rd Street
Oklahoma City, OK 73116
Phone (405) 848-7780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20210125002032 OK Practitioner - Oral Surgery 3476634502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greg Spielmann LLC CurrentSince Jan 15, 2021 Accepting new patients

Locations

2816 NW 58th St
Ste 105
Oklahoma City, OK 73112
Phone (405) 848-7780

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1679756175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NW 63RD STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73116",
            "telephone_number": "405-848-7780",
            "fax_number": "405-730-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NW 63RD STREET",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161509",
            "telephone_number": "405-848-7780",
            "fax_number": "405-730-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELMANN",
        "first_name": "GREGORY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.