Elliott Spenner, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2479 Issued in ND

Practice address

206 Wilmar Ave
Grand Island, NE 68803-3559

Phone

(308) 384-7500

NPI assigned

Apr 28, 2022

Last updated

Sep 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nebraska Dental Care LLC

  • General Practice Dentistry
  • Grand Island, NE
  • NPI 1306216890
  NPD (past)
• Richard a Rolfsmeier DDS PC

  • Dentist
  • Seward, NE
  • NPI 1407950983
  NPD (past)
• Seward Smiles Dental

  • General Practice Dentistry
  • Seward, NE
  • NPI 1487175626
  NPD (past)

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726963200000",
    "number": "1710622428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 COUNTY ROAD 21",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680078097",
            "telephone_number": "402-216-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 WILMAR AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688033559",
            "telephone_number": "308-384-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Seward",
            "state": "NE",
            "postal_code": "684342017",
            "country_code": "US",
            "telephone_number": "402-643-3909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3451 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017419",
            "country_code": "US",
            "telephone_number": "701-858-0552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENNER",
        "first_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2024-09-22",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ND",
            "license": "2479",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7852",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Specialized Outpatient Services
• Specialized Outpatient Services
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• Andrew Spencer
• Denise Spencer
• Kathleen Flor Spilinek, RN
• Dawn Marie Splattstoesser, RN
• Delores Adella Spotanski
• Veronica Spreng
• Tiffany Anne Spurling

• Dentist in Grand Island, NE
• Providers in Grand Island, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2024; 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.