Active NPI
Lindsay Brooke Spears, DDS
- General Practice Dentistry
- North Wilkesboro, NC
National Provider Identifier
1720425408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9513
- Practice address
- 1915 West Park Drive Ste 104
Wilkes Public Health Dental West
North Wilkesboro, NC 28659 - Phone
- (336) 903-9399
- Fax
- (336) 903-0464
- NPI assigned
- Jun 4, 2013
- Last updated
- Dec 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9513 | NC | Primary |
Addresses
Primary practice location
1915 West Park Drive Ste 104
Wilkes Public Health Dental West
North Wilkesboro, NC 28659
Mailing address
1915 West Park Drive
Wilkes Public Health Dental Clinic
North Wilkesboro, NC 28659
Phone (336) 903-9399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9513 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilkes Dental Consortium Inc | Past | Accepting new patients | |
| Wilkes Dental Consortium | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- North Wilkesboro, NC
- NPI 1508380544
-
dba Wilkes Public Health Dental Clinic
- Dentist
- N Wilkesboro, NC
- NPI 1184728339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1720425408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 WEST PARK DRIVE",
"address_2": "WILKES PUBLIC HEALTH DENTAL CLINIC",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "28659",
"telephone_number": "336-903-9399",
"fax_number": "336-903-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 WEST PARK DRIVE STE 104",
"address_2": "WILKES PUBLIC HEALTH DENTAL WEST",
"city": "NORTH WILKESBORO",
"state": "NC",
"postal_code": "28659",
"telephone_number": "336-903-9399",
"fax_number": "336-903-0464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "LINDSAY",
"middle_name": "BROOKE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-04",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "9513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.