Individual provider Active NPI

Amanda R Spoerl

  • Surgical Assistant
  • Dallas, TX
National Provider Identifier
1912643206
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
208462 Issued in TX
Practice address
2727 E Lemmon Ave
Dallas, TX 75204-2833
Phone
(214) 443-3000
NPI assigned
May 9, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 208462 TX Primary

Addresses

Primary practice location

2727 E Lemmon Ave
Dallas, TX 75204-2833

Mailing address

13825 Birchlawn Dr
Farmers Branch, TX 75234-3513
Phone (214) 616-9327

Other practice location 1

13825 Birchlawn Dr
Farmers Branch, TX 75234-3513
Phone (214) 616-9327

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
208462TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1912643206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13825 BIRCHLAWN DR",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752343513",
            "telephone_number": "214-616-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 E LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042833",
            "telephone_number": "214-443-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13825 Birchlawn Dr",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752343513",
            "country_code": "US",
            "telephone_number": "214-616-9327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPOERL",
        "first_name": "AMANDA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "208462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.