Amanda M Springer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4267 Issued in WV

Practice address

5376 Big Tyler Rd
Cross Lanes, WV 25313-1059

Phone

(304) 776-2223

Fax

(304) 776-2225

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amanda M Springer Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Amanda Springer DDS PLLC

  • Dental Clinic/Center
  • Cross Lanes, WV
  • NPI 1770293706
  NPD Authorized official
• Stan Kaczkowski DDS PLLC

  • Dental Clinic/Center
  • Cross Lanes, WV
  • NPI 1366053324
  NPD

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1689103780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5376 BIG TYLER RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131059",
            "telephone_number": "304-776-2223",
            "fax_number": "304-776-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5376 BIG TYLER RD",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131059",
            "telephone_number": "304-776-2223",
            "fax_number": "304-776-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGER",
        "first_name": "AMANDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SPRINGER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristin Sovine, LMT
• Linda Sovine
• Trisha Spangler
• Kaylisa Spaulding
• Kristina Spradling
• Stan Kaczkowski DDS PLLC
• Michele Stanley, O.D.
• Alyssa Starcher, RPH
• John Everett Starcher, DDS
• Mark Kerry Stephens, MD

• General Practice Dentistry in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• General Practice Dentistry in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.