Individual provider Active NPI

Spencer Updike, D.D.S.

  • General Practice Dentistry
  • Surprise, AZ
National Provider Identifier
1740419811
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7734711 Issued in UT
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

Updated by the provider on Dec 31, 2015

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 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

LicenseStateTypeSpecialty
7734711UTMDGeneral 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.

Verify at the official NPI Registry.