Individual provider Active NPI

Harrison Isaac Spatz, DMD

  • Prosthodontics
  • Yardley, PA
National Provider Identifier
1821688169
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DS043876 Issued in PA
Practice address
307 Floral Vale Blvd
Yardley, PA 19067-5525
Phone
(215) 860-0585
Fax
(215) 860-2214
NPI assigned
Jan 20, 2021
Last updated
Jan 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 061751 NY
Prosthodontics 1223P0700X DS043876 PA Primary

Addresses

Primary practice location

307 Floral Vale Blvd
Yardley, PA 19067-5525

Mailing address

15 Ash Dr
Roslyn, NY 11576-2205
Phone (516) 621-9648

Other practice location 1

15 Ash Dr
Roslyn, NY 11576-2205
Phone (516) 621-9648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 9, 2026 through Apr 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
061751NYMDProsthodontist
DS043876PAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Yardley Prosthodontics PLLC Prosthodontics CurrentSince Aug 28, 2022 Accepting new patients

Locations

307 Floral Vale Blvd
Yardley, PA 19067
Phone (215) 860-0585

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1821688169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ASH DR",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762205",
            "telephone_number": "516-621-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675525",
            "telephone_number": "215-860-0585",
            "fax_number": "215-860-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Ash Dr",
            "address_purpose": "LOCATION",
            "city": "Roslyn",
            "state": "NY",
            "postal_code": "115762205",
            "country_code": "US",
            "telephone_number": "516-621-9648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPATZ",
        "first_name": "HARRISON",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "061751",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PA",
            "license": "DS043876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yardley, PA

Sources for this page

Verify at the official NPI Registry.