Jessica Lauren Spinella, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

056643-1 Issued in NY

Practice address

910 Erie Blvd E
Syracuse, NY 13210

Phone

(315) 425-2468

NPI assigned

May 29, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeshore Dental Care, PLLC

  • General Practice Dentistry
  • Hamburg, NY
  • NPI 1962856237
  NPD (past)
• Stanley J. Scott, DDS

  • General Practice Dentistry
  • Hamburg, NY
  • NPI 1598166290
  NPD (past)

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1801156591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 ERIE BLVD E",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101048",
            "telephone_number": "315-425-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ERIE BLVD E",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-425-2468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5020 Lake Shore Rd",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140755719",
            "country_code": "US",
            "telephone_number": "716-627-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 East 23rd St",
            "address_2": "VA NY Harbor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10010",
            "country_code": "US",
            "telephone_number": "212-686-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPINELLA",
        "first_name": "JESSICA",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056643-1",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "056643-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Spies, PA
• Kathleen A. Spillett, CNM
• Kaitlin Anne Spina, PA-C
• Shannon Kathleen Spina, NPP
• Kathyrn Mary Spinek, N.P.
• Sheri A Spink-Palmieri, RPA
• Deborah Eileen Spinks, PH.D.
• Kenneth H Spitzer, MD
• Stephen G Spitzer, MD
• Patricia M Spizuoco, M.D.

• Endodontics in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.