Ronald W Spencer, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4767 Issued in TN

Practice address

207 Southdowne Dr
Maryville, TN 37801-3747

Phone

(865) 983-5451

NPI assigned

Mar 5, 2008

Sex

Male

Sole proprietor

Yes

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 TN

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

Practice roles

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.

• Spencer Dental PLLC

  • Dentist
  • Maryville, TN
  • NPI 1669396255
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1760652812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SOUTHDOWNE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013747",
            "telephone_number": "865-983-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SOUTHDOWNE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013747",
            "telephone_number": "865-983-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "RONALD",
        "middle_name": "W",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula S Sparkman, FNP
• Tommy Spears, D.D.S.
• Speech Pathology Services of East Tennessee LLC
• Spencer Dental PLLC
• Gregory Thomas Spencer, D.D.S.
• Jennifer Renee Spicer, A.P.N.-B.C.
• Timothy B Spicer, O.D.
• Jacob D Spier, FNP-BC
• Coleen Michele Spotts, CRNA
• Ariel P Stakely, FNP-BC

• General Practice Dentistry in Maryville, TN
• Providers in Maryville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.