Micheal Anthony Spann, R.D.,C.D.E.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

225 Issued in AL

Practice address

305 Woodleigh Rd
Dothan, AL 36305-1036

Phone

(334) 793-7260

NPI assigned

Sep 11, 2008

Last updated

Sep 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1932358157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WOODLEIGH RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051036",
            "telephone_number": "334-793-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WOODLEIGH RD",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051036",
            "telephone_number": "334-793-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "MICHEAL",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "R.D.,C.D.E.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "225",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "AL",
            "license": "225",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "AL",
            "license": "225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Pedodontics Partners, LLC
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• Southwood Radiology
• Alaina Arnold Sowell, RD, LD
• Michele Ann Spann
• Lauren Spathias, DMD
• Spectracare Health Systems, Inc.
• Spectracare Integrated Services LLC
• Spectrum Center for Autism and Related Disorders, Inc (Spectrum)

• Registered Dietitian in Dothan, AL
• Providers in Dothan, AL by specialty
• Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.