Active NPI
Colin Richard Spencer, DDS
- General Practice Dentistry
- Warsaw, IN
National Provider Identifier
1871225680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12014702A
- Practice address
- 901 Anchorage Rd
Warsaw, IN 46580 - Phone
- (574) 385-3146
- Fax
- (866) 251-8293
- NPI assigned
- Jun 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 10274 | SC | |
| General Practice Dentistry | 1223G0001X | 12014702A | IN | Primary |
Addresses
Primary practice location
901 Anchorage Rd
Warsaw, IN 46580
Mailing address
901 Anchorage Rd
Warsaw, IN 46580
Phone (843) 667-9414
Other practice location 1
360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12014702A | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowen Health Inc | Past | Accepting new patients | |
| Bowen Health Inc | Dental Public Health | Past | 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.
-
- Federally Qualified Health Center (FQHC)
- Warsaw, IN
- NPI 1013806082
Dental Public Health
-
- Federally Qualified Health Center (FQHC)
- Fort Wayne, IN
- NPI 1023668183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1871225680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 ANCHORAGE RD",
"city": "WARSAW",
"state": "IN",
"postal_code": "46580",
"telephone_number": "843-667-9414",
"fax_number": "843-667-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 ANCHORAGE RD",
"city": "WARSAW",
"state": "IN",
"postal_code": "46580",
"telephone_number": "574-385-3146",
"fax_number": "866-251-8293"
}
],
"practiceLocations": [
{
"address_1": "360 N Irby St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295012808",
"country_code": "US",
"telephone_number": "843-667-9414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPENCER",
"first_name": "COLIN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-29",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "SC",
"license": "10274",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12014702A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.