Stephen J Spencer

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

DEN-DEN-LIC-1688 Issued in MT

Legal business name

STEPHEN J SPENCER

Practice address

912 13TH Ave S
Great Falls, MT 59405-4406

Phone

(406) 761-3368

Fax

(406) 761-4039

NPI assigned

Apr 7, 2017

Organization subpart

No

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

Authorized official

Name

Stephen J SpencerNPI 1770649006

Title

Owner

Phone

(406) 761-3368

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen J Spencer, D.D.S.

  • General Practice Dentistry
  • Great Falls, MT
  • NPI 1770649006
  NPD (past) Authorized official

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1932632718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 13TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054406",
            "telephone_number": "406-761-3368",
            "fax_number": "406-761-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 13TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054406",
            "telephone_number": "406-761-3368",
            "fax_number": "406-761-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J SPENCER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-761-3368"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MT",
            "license": "DEN-DEN-LIC-1688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle Marie-Lynn Steiner
• Karin D Steinke, PT
• Stellingwerf, LLC (Solutions Counseling and Wellness Center)
• Sandra Ryanne Stellingwerf, LCPC
• Kenna Stensrud, PHARMD
• Jacob Casey Sternhagen, MSOTR/L
• Steven J. Ayres M D PLLC
• Mark Russell Stevenson, D.M.D
• Nathan Wade Steward, LACE
• John K Stewart, DDS

• Customized Equipment (DME) in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Customized Equipment (DME) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.