Active NPI
Durwood Spencer, DDS
- General Practice Dentistry
- Bakersfield, CA
National Provider Identifier
1770615734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38948
- Practice address
- 3000 Mall View Rd
Suite C-71
Bakersfield, CA 93306-3057 - Phone
- (661) 871-6872
- NPI assigned
- Mar 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38948 | CA | Primary |
| General Practice Dentistry | 1223G0001X | 20422 | TX |
Addresses
Primary practice location
3000 Mall View Rd
Suite C-71
Bakersfield, CA 93306-3057
Mailing address
3000 Mall View Rd
Suite C-71
Bakersfield, CA 93306-3057
Phone (661) 871-6872
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 |
|---|---|---|---|
| 20422 | TX | MD | General Practice Dentistry |
| 38948 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770615734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MALL VIEW RD",
"address_2": "SUITE C-71",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933063057",
"telephone_number": "661-871-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MALL VIEW RD",
"address_2": "SUITE C-71",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933063057",
"telephone_number": "661-871-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "DURWOOD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "38948",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20422",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
- Special Treatment, Education and Prevention Services
- Specialty Medical Group Central California, Inc.
- Speech and Grow Language Therapist, Inc.
- Speedcare LLC
- Deborah Vogel Spencer, RN PHN
- Emma Jean Spencer, OTR/L
- Julie Diianne Spencer
- Michele Spencer, LMT
- Cheri Ann Sperl, R.D.
- Gary Steven Spicher, F.A.C.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.