Spades Dental Care, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3299 Issued in AR

Legal business name

SPADES DENTAL CARE, P.A.

Practice address

900 Southwest Dr
Ste C&D
Jonesboro, AR 72401-7051

Phone

(870) 910-0000

Fax

(870) 910-3500

NPI assigned

Apr 28, 2008

Last updated

Apr 28, 2008By 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. William Austin Spades, D.D.S.

Title

Owner/Dentist

Phone

(870) 910-0000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1861667131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SOUTHWEST DR",
            "address_2": "STE C&D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017051",
            "telephone_number": "870-910-0000",
            "fax_number": "870-910-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTHWEST DR",
            "address_2": "STE C&D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017051",
            "telephone_number": "870-910-0000",
            "fax_number": "870-910-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPADES DENTAL CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "SPADES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "870-910-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS AND BLUE SHIELD",
            "identifier": "5U366",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136699608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Home Healthcare Inc
• Southern Home Healthcare, Inc.
• Southern Mental Health Associates
• Haley Southwick
• Spa, Inc.
• Joseph Sebastian Spades, D.D.S.
• Williams A. Spades, D.D.S.
• Shyoni Span
• Deborah B Spandikow, LCSW
• Olivia Grace Spanley, QBHP

• General Practice Dentistry in Jonesboro, AR
• Providers in Jonesboro, 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 Apr 28, 2008; 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.