Individual provider Active NPI

Richard W. Spencer, D.D.S.

  • Dentist
  • Huntington, IN
National Provider Identifier
1841249810
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009308 Issued in IN
Practice address
22 Vine St
Huntington, IN 46750-1409
Phone
(260) 356-9550
Fax
(260) 356-5181
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12009308 IN Primary

Addresses

Primary practice location

22 Vine St
Huntington, IN 46750-1409

Mailing address

22 Vine St
Huntington, IN 46750-1409
Phone (260) 356-9550

Other identifiers 1

IdentifierTypeStateIssuer
119197OtherINCHILDREN'S SPECIAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150603000666 IN Order and Referring Only - DentistPractitioner - Dentist 0345561379

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009308INMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Huntington Dental Group, P.C. Past Accepting new patients
D'Vine Dental PastSince Jun 15, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841249810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 VINE ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467501409",
            "telephone_number": "260-356-9550",
            "fax_number": "260-356-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 VINE ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467501409",
            "telephone_number": "260-356-9550",
            "fax_number": "260-356-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "RICHARD",
        "middle_name": "W.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDREN'S SPECIAL HEALTH",
            "identifier": "119197",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, IN

Sources for this page

Verify at the official NPI Registry.