Individual provider Active NPI

William Peter Spencer III, D.M.D.

  • Dentist
  • Dunedin, FL
National Provider Identifier
1912307166
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20645 Issued in FL
Practice address
1201 County Road 1 Ste B
Dunedin, FL 34698-4655
Phone
(727) 734-3321
NPI assigned
Aug 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20645 FL Primary

Addresses

Primary practice location

1201 County Road 1 Ste B
Dunedin, FL 34698-4655

Mailing address

1896 Murray Ave
Clearwater, FL 33755-2308
Phone (352) 263-0281

Other practice location 1

5005 N Piedras St
El Paso, TX 79920-5001
Phone (915) 742-9293

Other practice location 2

2226 Druid Rd E
Clearwater, FL 33764-4935
Phone (727) 797-8800

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

LicenseStateTypeSpecialty
DN20645FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dunedin Dental Associates, LLC CurrentSince Aug 25, 2019 Accepting new patients
Clearwater Dental Associates PL Past Accepting new patients

Locations

1201 County Road 1
Ste B
Dunedin, FL 34698
Phone (727) 734-3321

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.

NPI Registry JSON

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1912307166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896 MURRAY AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337552308",
            "telephone_number": "352-263-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 COUNTY ROAD 1 STE B",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984655",
            "telephone_number": "727-734-3321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 N Piedras St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799205001",
            "country_code": "US",
            "telephone_number": "915-742-9293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2226 Druid Rd E",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337644935",
            "country_code": "US",
            "telephone_number": "727-797-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "WILLIAM",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.