Lisa Spinello, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

054028-1 Issued in NY

Practice address

77 Veterans Memorial Hwy
Suite 2
Commack, NY 11725-3410

Phone

(631) 499-5663

NPI assigned

Sep 4, 2008

Last updated

Jun 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Macedon Dentistry PLLC

  • Dentist
  • Macedon, NY
  • NPI 1083301303
  NPD Authorized official
• Exceldent Dental of Commack

  • General Practice Dentistry
  • Commack, NY
  • NPI 1629159116
  NPD (past)

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1891943700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1238",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117250919",
            "telephone_number": "585-319-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 2",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINELLO",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054028-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorie Ann Speciale
• Debra M. Spector, RD
• Speech Therapy of Long Island PC
• Spencer F. Dubov, D.P.M., P.C.
• William Anthony Sperduto
• Sharon Spinner
• Cinthya Andrea Springer
• Carol Spry, LMT
• Kaitlyn Elizabeth Squitieri
• Linda St.Pierre, NYS LICENCE

• Dentist in Commack, NY
• Providers in Commack, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.