Jonathan David Spenn, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DN21699 Issued in FL

Practice address

1801 SE 32 Ave
Ocala, FL 34471

Phone

(352) 620-6868

Fax

(352) 620-6480

NPI assigned

May 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDCGDD

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.

• Raphael Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Indianapolis, IN
  • NPI 1487764759
  Medicare reassignment NPD
• Raphael Health Center, Inc

  • Pharmacy
  • Indianapolis, IN
  • NPI 1194582221
  NPD

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1942435318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34475",
            "telephone_number": "352-622-2664",
            "fax_number": "352-622-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE 32 AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-620-6868",
            "fax_number": "352-620-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENN",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "FL",
            "license": "DN21699",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Spell, ARNP
• Emani Spence
• Spencer Gynecology PA
• Ronald P Spencer, M.D.
• Yasmeen Faisal Spencer, PHARMD
• Savannah Spice
• David Spicer
• Kristin Spicer
• Ben Mac-Ryan Spivey, D.M.D.
• Mary Spivey, MS, BCBA

• Public Health Dentistry in Ocala, FL
• Providers in Ocala, FL by specialty
• Public Health Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.