Individual provider Active NPI

James M Spitzer, D.D.S.

  • General Practice Dentistry
  • Green Bay, WI
National Provider Identifier
1740358100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5001932-015 Issued in WI
Practice address
2926 Finger Rd
Green Bay, WI 54311-7548
Phone
(920) 468-8085
Fax
(920) 468-8050
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 5001932-015 WI Primary

Addresses

Primary practice location

2926 Finger Rd
Green Bay, WI 54311-7548

Mailing address

2926 Finger Rd
Green Bay, WI 54311-7548
Phone (920) 468-8085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20150602001818 WI Order and Referring Only - DentistPractitioner - Dentist 2264753334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5001932-015WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James M Spitzer D.D.S. S.C. General Practice Past Accepting new patients
Sunridge Dental LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740358100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 FINGER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543117548",
            "telephone_number": "920-468-8085",
            "fax_number": "920-468-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 FINGER RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543117548",
            "telephone_number": "920-468-8085",
            "fax_number": "920-468-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZER",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001932-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.