Stephen Haines Speck Sr., D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN21083 Issued in FL

Practice address

6470 Tippin Ave
Pensacola, FL 32504

Phone

(850) 969-1060

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1730258393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6470 TIPPIN AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048143",
            "telephone_number": "850-969-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 TIPPIN AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32504",
            "telephone_number": "850-969-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16022 Ponderosa Pass",
            "address_purpose": "LOCATION",
            "city": "Helotes",
            "state": "TX",
            "postal_code": "780233692",
            "country_code": "US",
            "telephone_number": "210-204-6969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPECK",
        "first_name": "STEPHEN",
        "middle_name": "HAINES",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN21083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl H Spear, OD
• Lauren Vaughn Specht, PA-C
• Specialty Operating Investments LLC
• Specialty Vehicles Southeast, Inc
• Speck Endodontics, LLC
• Spectrum House Inc
• Spectrum House Inc.
• Spectrum Specialist, LLC
• Speech & Neurorehab Center Inc
• Speechly Therapy, PLLC

• Endodontics in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.