Active NPI
Spencer Updike, D.D.S.
- General Practice Dentistry
- Surprise, AZ
National Provider Identifier
1740419811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7734711
- Practice address
- 18775 N Reems Rd Ste 300C
Surprise, AZ 85374-8647 - Phone
- (623) 584-3965
- NPI assigned
- Jul 9, 2009
- Sex
- Male
- 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 | 7734711 | UT | Primary |
Addresses
Primary practice location
18775 N Reems Rd Ste 300C
Surprise, AZ 85374-8647
Mailing address
34S 500 E 207
Salt Lake City, UT 84102-1065
Phone (801) 521-8188
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 |
|---|---|---|---|
| 7734711 | UT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451520000000",
"number": "1740419811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34S 500 E 207",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021065",
"telephone_number": "801-521-8188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18775 N REEMS RD STE 300C",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748647",
"telephone_number": "623-584-3965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPDIKE",
"first_name": "SPENCER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-09",
"last_updated": "2015-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "7734711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.