Active NPI
Alexander Spivak, DMD
- Dentist
- Seminole, FL
National Provider Identifier
1740667930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN20372
- Practice address
- 9200 113TH St
Seminole, FL 33772-2800 - Phone
- (727) 394-6064
- NPI assigned
- Apr 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN20372 | FL | Primary |
Addresses
Primary practice location
9200 113TH St
Seminole, FL 33772-2800
Mailing address
822 Gulf Blvd Apt 5
Indian Rocks Beach, FL 33785-2883
Phone (305) 505-7422
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 |
|---|---|---|---|
| DN20372 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1740667930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 GULF BLVD APT 5",
"city": "INDIAN ROCKS BEACH",
"state": "FL",
"postal_code": "337852883",
"telephone_number": "305-505-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 113TH ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337722800",
"telephone_number": "727-394-6064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIVAK",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-27",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN20372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
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- Morgan Spadoni
- Christina Marie Spelich
- Kandi Spencer, LMHC
- Scott-Michael Ross Springstead, RN
- Michael P Spuza, MD
- St Petersburg Facility Operations, LLC (Living Center of St. Petersburg)
- John Matthew Stansberry
- Stat One Urgent Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.