Spika Dental, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

102998 Issued in CA

Legal business name

SPIKA DENTAL, INC.

Practice address

312 W Line St
Bishop, CA 93514-3413

Phone

(253) 651-0705

NPI assigned

Aug 9, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bradford Charles Spika, DMDNPI 1316491731

Title

President

Phone

(253) 651-0705

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• McGovern and Borin Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradford Spika, D.M.D.

  • Dentist
  • Bishop, CA
  • NPI 1316491731
  NPD Authorized official

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1760961817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2185",
            "city": "MAMMOTH LAKES",
            "state": "CA",
            "postal_code": "935462185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143413",
            "telephone_number": "253-651-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIKA DENTAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "SPIKA",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-651-0705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "102998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841345444",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1578603627",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McGovern and Borin Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtenay Beckwith Sly, RN
• Carey Sokol, OTD, OTR/L
• Andrea Sosa
• Southern Mono Healthcare District
• Southern Mono Healthcare District
• Bradford Spika, D.M.D.
• Linda Jean Spoonhunter, RN
• Sports Medicine and Rehab Therapy, Inc.
• Jeanette Sprague
• Stacey L. Brown, M.D.

• Dental Clinic/Center in Bishop, CA
• Providers in Bishop, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.