Spore Test Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SPORE TEST INC

Practice address

1624 University Ave Apt 2B
Bronx, NY 10453-6950

Phone

(718) 294-3725

NPI assigned

Aug 5, 2022

Organization subpart

No

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

Authorized official

Name

Alejandro Leonel WilliamsNPI 1073502217

Title

Owner

Phone

(917) 335-3722

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alejandro Leonel Williams, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Bronx, NY
  • NPI 1073502217
  Medicare reassignment Authorized official
• Hector Bolivar Bernabe, DDS

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1104815406
  Medicare reassignment NPD
• Hanna Hyun Kim, DDS

  • Dentist
  • New York, NY
  • NPI 1508333089
  Medicare reassignment NPD
• Yandresco Quintana, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
  • NPI 1114187762
  Medicare reassignment NPD
• Carlos Acosta, DDS

  • Dentist
  • New York, NY
  • NPI 1831412865
  Medicare reassignment
• Juan Pablo Collado, D.D.S.

  • Dentist
  • New York, NY
  • NPI 1952390015
  Medicare reassignment
• Feliciano A Espaillat, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Corona, NY
  • NPI 1659547701
  Medicare reassignment
• Juan Bautista Espaillat, D.D.S.

  • General Practice Dentistry
  • Spring Valley, NY
  • NPI 1194715425
  Medicare reassignment
• John Nicholas Finelli, D.D.S.

  • Dentist
  • Mamaroneck, NY
  • NPI 1437472792
  Medicare reassignment
• Manuel D Galan Jr., DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1619054947
  Medicare reassignment
• Enrique Ficy Guillen

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1932374121
  Medicare reassignment
• Burt Farbourne Harvey, DDS

  • General Practice Dentistry
  • Hempstead, NY
  • NPI 1578580361
  Medicare reassignment

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1902533342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 UNIVERSITY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536948",
            "telephone_number": "718-294-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 UNIVERSITY AVE APT 2B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536950",
            "telephone_number": "718-294-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORE TEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ALEJANDRO",
        "authorized_official_middle_name": "LEONEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-335-3722"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bonitasonrisadental.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "919 Wyckoff Ave",
            "city": "Ridgewood",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113855353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hayley Spoljaric, MD
• Maria Spoljaric
• Luke Richard Sponholz, M.D.
• Carlton Ivor Spooner Sr., LPN
• Kedeshia Tamala Spooner, LMSW
• Sports Medicine Specialist P.C.
• Matthew E Spotnitz, M.D.
• Spots
• Sprainspine Paincare LLC
• Seymour Sprayregen, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.