Individual provider Active NPI

Ernest Tracy Spaur, DDS

  • General Practice Dentistry
  • Powhatan, VA
National Provider Identifier
1841383627
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5786 Issued in VA
Practice address
3852 Old Buckingham Rd
Powhatan, VA 23139
Phone
(804) 598-3500
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5786 VA Primary

Addresses

Primary practice location

3852 Old Buckingham Rd
Powhatan, VA 23139

Mailing address

2574 Judes Ferry Rd
Powhatan, VA 23139
Phone (804) 598-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160317001108 VA Order and Referring Only - DentistPractitioner - Dentist 9032415013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5786VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
E. Tracy Spaur DDS Past Accepting new patients

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841383627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2574 JUDES FERRY RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "23139",
            "telephone_number": "804-598-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 OLD BUCKINGHAM RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "23139",
            "telephone_number": "804-598-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAUR",
        "first_name": "ERNEST",
        "middle_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "5786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powhatan, VA

Sources for this page

Verify at the official NPI Registry.