Robert Eugene Spatafora, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3206 Issued in LA

Practice address

2212 Justice St
Monroe, LA 71201-3620

Phone

(318) 325-5764

Fax

(318) 325-7940

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Robert Spatafora DDS

  dba Dr Robert E Spatafora, LLC

  • General Practice Dentistry
  • Monroe, LA
  • NPI 1477032084
  NPD Authorized official
• Monroe Sleep Solutions LLC

  • General Practice Dentistry
  • Monroe, LA
  • NPI 1306699970
  NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952325680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 JUSTICE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013620",
            "telephone_number": "318-325-5764",
            "fax_number": "318-325-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 JUSTICE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013620",
            "telephone_number": "318-325-5764",
            "fax_number": "318-325-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATAFORA",
        "first_name": "ROBERT",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1832065",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Center for Children and Families, Inc. (The Center for Children and Families, Inc.)
• Southern Center for Children and Families, Inc. (The Center for Children and Families, Inc.)
• Southern Endocrinology Center
• Aaron James Soward, CIT
• Stephanie Bartlett Spangler, P.A.
• Spats Rexall Drugs Inc
• Jarvis Spearman
• Special Care Services of Louisiana Inc
• Special Care Services of Louisiana Inc (Precision Caregivers)
• Special Care Services of Louisiana, Inc (Precision Caregivers)

• General Practice Dentistry in Monroe, LA
• Providers in Monroe, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.