Spencer and Spencer Pediatric Dentistry, DDS, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2000161231 Issued in MO

Legal business name

SPENCER AND SPENCER PEDIATRIC DENTISTRY, DDS, PC

Practice address

301 NE Mulberry St
Suite #201
Lees Summit, MO 64086-5818

Phone

(816) 373-2052

NPI assigned

Sep 4, 2010

Last updated

Sep 4, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glynn Stephen Spencer, D.D.S.NPI 1306829080

Title

Owner

Phone

(816) 607-6000

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glynn Stephen Spencer Jr., D.D.S.

  • Pediatric Dentistry
  • Lee's Summit, MO
  • NPI 1306829080
  NPD (past) Authorized official
• Jodie L Spencer, DDS

  • Pediatric Dentistry
  • Lee's Summit, MO
  • NPI 1972587624
  NPD (past)

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

{
    "created_epoch": "1283558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283558400000",
    "number": "1679880124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NE MULBERRY ST",
            "address_2": "SUITE #201",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865818",
            "telephone_number": "816-373-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NE MULBERRY ST",
            "address_2": "SUITE #201",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865818",
            "telephone_number": "816-373-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER AND SPENCER PEDIATRIC DENTISTRY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-04",
        "last_updated": "2010-09-04",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "GLYNN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-607-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2000161231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Soutter
• Sam Michael Spangler, RN, BSN, CCRN
• Rosann Elizabeth Sparks, LMFT
• Speech and Language Solutions, LLC
• Amy Beth Speer, OTR, MOT, CHT
• Glynn Stephen Spencer Jr., D.D.S.
• Jodie L Spencer, DDS
• Spira Care, LLC
• Philip John Spitznagle, RPH
• Bernadette P Spooner Thompson, ED.S.

• Pediatric Dentistry in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2010; 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.