NPIMap

Organization Active NPI

Spadafore Orthodontics, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Saint Clairsville, OH
National Provider Identifier
1699147769
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19529 Issued in OH
Legal business name
SPADAFORE ORTHODONTICS, INC.
Practice address
47696 Reservoir Rd
Saint Clairsville, OH 43950-9153
Phone
(740) 695-5911
Fax
(740) 695-3023
NPI assigned
Oct 28, 2015
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Dr. Charles A Spadafore, DDS, MSDNPI 1649392036
Title
President
Phone
(740) 695-5911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 3035 WV
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 19529 OH Primary

Addresses

Primary practice location

47696 Reservoir Rd
Saint Clairsville, OH 43950-9153

Mailing address

47696 Reservoir Rd
Saint Clairsville, OH 43950-9153
Phone (740) 695-5911

National Provider Directory

National Provider Directory
Tax ID family
Spadafore Orthodontics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1699147769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47696 RESERVOIR RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509153",
            "telephone_number": "740-695-5911",
            "fax_number": "740-695-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47696 RESERVOIR RD",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439509153",
            "telephone_number": "740-695-5911",
            "fax_number": "740-695-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPADAFORE ORTHODONTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "SPADAFORE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-695-5911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WV",
            "license": "3035",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "19529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.