Spencer Gordy DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3926 Issued in AR

Legal business name

SPENCER GORDY DDS PA

Doing business as

Dental Designs

Practice address

550 Chestnut St
Conway, AR 72032-5402

Phone

(501) 329-8754

NPI assigned

Jul 16, 2014

Last updated

Jul 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Spencer Gordy, DDSNPI 1477991065

Title

President/Ceo

Phone

(501) 733-1677

Specialties & licenses 1

Addresses

Other names 1

• Dental Designs Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Spencer Preston Gordy, DDS

  • General Practice Dentistry
  • Conway, AR
  • NPI 1477991065
  Authorized official Same address or phone

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1801203450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CHESTNUT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325402",
            "telephone_number": "501-329-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CHESTNUT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325402",
            "telephone_number": "501-329-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER GORDY DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "GORDY",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "501-733-1677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Designs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Catherine Speck
• Elyse Speckels, SLP
• Spectrum Inc (Affordable Medical Equipment)
• Saniya Mone Speed
• Lisa Jeanette Speer, APRN
• Matthew Spicer
• Andrea Lauren Spinelli, PT
• Kayleigh Springer, AGACNP-BC
• Marcus Dewayne Springer Jr.
• Kevin Nathaniel Phelps Spurgers, MS, LPC, NCC, TA

• General Practice Dentistry in Conway, AR
• Providers in Conway, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.