Ellen J Spielberg, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17014 Issued in MA

Practice address

1655 Boston Rd
Springfield, MA 01129-1148

Phone

(413) 543-2101

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

No

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 MA

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513036800000",
    "number": "1740369024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 BOSTON RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291148",
            "telephone_number": "413-543-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BOSTON RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011291148",
            "telephone_number": "413-543-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELBERG",
        "first_name": "ELLEN",
        "middle_name": "J",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2017-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally A Spencer-Long, NP
• Chelsea Rae Spencer, MD
• Elizabeth Spencer
• Shantel Spencer
• Katrina Antoinette Spicer
• Philip J Spigarelli, RPH
• Kathrin Spillane
• Blake A Spirko, MD
• Shanti Devi Sponder
• Rachel Elizabeth Sporbert

• General Practice Dentistry in Springfield, MA
• Providers in Springfield, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.