Individual provider Active NPI

Lindsay Brooke Spears, DDS

  • General Practice Dentistry
  • North Wilkesboro, NC
National Provider Identifier
1720425408
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9513 Issued in NC
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
9513NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wilkes Dental Consortium Inc Past Accepting new patients
Wilkes Dental Consortium General Practice PastSince Jul 24, 2022 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.

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.

Verify at the official NPI Registry.